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DOVER INTERNAL MEDICINE LLC NPI 1164695185


NPI Information

NPI: 1164695185
Provider Name: DOVER INTERNAL MEDICINE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D1018204

Address:
530 LAKEHURST RD
SUITE 307
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 341-8901
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DOVER INTERNAL MEDICINE, LLC is an internal medicine in Toms River, 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. DOVER INTERNAL MEDICINE, LLC NPI is 1164695185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 LAKEHURST RD
SUITE 307
TOMS RIVER, NJ
ZIP 08755-063
Phone: (732) 341-8901
Fax: (732) 341-8906

The provider's authorized official is Tittymol Mathew .
The authorized official title is Physician and has the following contact phone number (732) 341-8901.

The CLIA number assigned to this NPI record is 31D1018204 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.


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 MedicineMA71468NEW 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
1H49067MEDICARE UPINNEW JERSEY
2051348MEDICARE PINNEW 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: 4/28/2024

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.