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MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC NPI 1154379626


NPI Information

NPI: 1154379626
Provider Name: MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3600 ROUTE 66 FL 3
NEPTUNE, NJ
ZIP 07753
Phone: (732) 807-0800
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MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC is an internal medicine in Neptune, 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. MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC NPI is 1154379626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 ROUTE 66 FL 3
NEPTUNE, NJ
ZIP 07753-605
Phone: (732) 807-0800
Fax: (732) 922-0548

The provider's authorized official is James Clarke .
The authorized official title is Director and has the following contact phone number (732) 481-8530.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/31/2021.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNEW JERSEYNo
2207RI0200XInternal MedicineInfectious DiseaseNEW JERSEYNo
3207RR0500XInternal MedicineRheumatologyNEW JERSEYNo
4207V00000XObstetrics & GynecologyNEW JERSEYNo
5207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryNEW JERSEYNo
6207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNEW JERSEYNo
7207VX0201XObstetrics & GynecologyGynecologic OncologyNEW JERSEYNo
8208000000XPediatricsNo
9208600000XSurgeryNEW JERSEYNo
102086S0129XSurgeryVascular SurgeryNEW JERSEYNo
112086X0206XSurgerySurgical OncologyNEW JERSEYNo
12207R00000XInternal MedicineNEW 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
10092410MEDICAIDNEW 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

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.