MOORESTOWN FAMILY PRACTICE P.C. NPI 1154376903

NPI Information

  • NPI: 1154376903
  • Provider Name: MOORESTOWN FAMILY PRACTICE, P.C.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 301 N CHURCH ST
    SUITE 101
    MOORESTOWN, NJ
    ZIP 08057
  • Phone: (856) 234-2101

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NPI Details

MOORESTOWN FAMILY PRACTICE, P.C. is a geriatric medicine family medicine in Moorestown, NJ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MOORESTOWN FAMILY PRACTICE, P.C. NPI is 1154376903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 N CHURCH ST
SUITE 101
MOORESTOWN, NJ
ZIP 08057-498
Phone: (856) 234-2101

The provider's authorized official is R. Blair Summersgill .
The authorized official title is President and has the following contact phone number (856) 234-2101.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/11/2025.

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
1207Q00000XFamily MedicineMA39828NEW JERSEYNo
2207QG0300XFamily MedicineGeriatric MedicineMA39828NEW JERSEYYes

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: 11/21/2025

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