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JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY P.C. NPI 1083039200


NPI Information

NPI: 1083039200
Provider Name: JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D0680396

Address:
443 LAUREL OAK RD
SUITE 130
VOORHEES, NJ
ZIP 08043
Phone: (856) 741-0122
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JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY, P.C. is an internal medicine in Voorhees, 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. JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY, P.C. NPI is 1083039200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

443 LAUREL OAK RD
SUITE 130
VOORHEES, NJ
ZIP 08043-419
Phone: (856) 741-0122
Fax: (856) 741-0121

The provider's authorized official is Mark L. Tykocinski .
The authorized official title is President and has the following contact phone number (215) 955-1628.

The CLIA number assigned to this NPI record is 39D0680396 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/25/2014 and was last updated on 10/14/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNEW JERSEYNo
2207LP2900XAnesthesiologyPain MedicineNo
3207Q00000XFamily MedicineNEW JERSEYNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8207RN0300XInternal MedicineNephrologyNo
9207RR0500XInternal MedicineRheumatologyNo
10207T00000XNeurological SurgeryNo
11207Y00000XOtolaryngologyNo
12208100000XPhysical Medicine & RehabilitationNo
132084N0400XPsychiatry & NeurologyNeurologyNo
142086S0129XSurgeryVascular SurgeryNo
15207R00000XInternal 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.