PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY NPI 1417393943

NPI Information

NPI: 1417393943
Provider Name: PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
4510 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 439-0060
Get Directions

PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY is an adult medicine family medicine in Mount Laurel, NJ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY NPI is 1417393943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4510 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054-210
Phone: (856) 439-0060
Fax: (856) 452-0344

The provider's authorized official is Thomas Yon Lee .
The authorized official title is Owner and has the following contact phone number (856) 439-0060.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 10/24/2014.

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	207QA0505X	Family Medicine	Adult Medicine	25MA07756900	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »