ELMER FAMILY PRACTICEPC NPI 1275571184

NPI Information

NPI: 1275571184
Provider Name: ELMER FAMILY PRACTICE,PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 31D0120850
Address: 475 ROUTE 40
ELMER, NJ
ZIP 08318
Phone: (856) 358-0770

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NPI Details

ELMER FAMILY PRACTICE,PC is a family medicine in Elmer, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ELMER FAMILY PRACTICE,PC NPI is 1275571184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 ROUTE 40
ELMER, NJ
ZIP 08318-532
Phone: (856) 358-0770
Fax: (856) 358-0108

The provider's authorized official is Judy Koslick .
The authorized official title is Business Office Manager and has the following contact phone number (856) 358-0770.

The CLIA number assigned to this NPI record is 31D0120850 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/13/2013.

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
1	207Q00000X	Family Medicine				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5174007	MEDICAID	NEW JERSEY
2	4584666	OTHER	NEW JERSEY	AETNA ID NUMBER
3	2124194001	OTHER	NEW JERSEY	AMERIHEALTH ID NUMBER
4	067915	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE ID NUMBER

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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