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WELLCARE TCCM NPI 1982245932


NPI Information

NPI: 1982245932
Provider Name: WELLCARE TCCM
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
250 MOORE ST
HACKENSACK, NJ
ZIP 07601
Phone: (201) 686-8734
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WELLCARE TCCM is an internal medicine in Hackensack, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLCARE TCCM NPI is 1982245932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 MOORE ST
HACKENSACK, NJ
ZIP 07601-506
Phone: (201) 686-8734

The provider's authorized official is Kaitlyn Gomez .
The authorized official title is Owner and has the following contact phone number (201) 686-8734.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/22/2019.


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
1207R00000XInternal MedicineYes

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: 4/28/2024

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