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ID CARE PA NPI 1639146277


NPI Information

NPI: 1639146277
Provider Name: ID CARE PA

Former Legal Business Name: ID ASSOCIATES, PA

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 31D0999628

Address:
105 RAIDER BLVD
SUITE 101
HILLSBOROUGH, NJ
ZIP 08844
Phone: (908) 281-0221
Get Directions

ID CARE PA is an infectious disease internal medicine in Hillsborough, NJ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. ID CARE PA NPI is 1639146277. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Id Associates, Pa.

The provider's business location address is:

105 RAIDER BLVD
SUITE 101
HILLSBOROUGH, NJ
ZIP 08844-528
Phone: (908) 281-0221
Fax: (908) 281-0890

The provider's authorized official is Ronald Nahass .
The authorized official title is Shareholder and has the following contact phone number (908) 281-0221.

The CLIA number assigned to this NPI record is 31D0999628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 10/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14619501MEDICAIDNEW JERSEY
2679077MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
36386300001MEDICARE NSCNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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