PATRICK A ERVILUS NPC NPI 1558369363

NPI Information

  • NPI: 1558369363
  • Provider Name: PATRICK A ERVILUS, NPC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2809 RIVER RD
    CAMDEN, NJ
    ZIP 08105
  • Phone: (856) 966-8088

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NPI Details

Patrick A Ervilus, NPC is a family nurse practitioner in Camden, NJ. Patrick A Ervilus, NPC NPI is 1558369363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2809 RIVER RD
CAMDEN, NJ
ZIP 08105-426
Phone: (856) 966-8088
Fax: (856) 966-8089

The enumeration date for this NPI number is 7/14/2005 and was last updated on 8/4/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner26NN10322000NEW JERSEYNo
2363LF0000XNurse PractitionerFamily26NN10322000NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S48566MEDICARE UPINNEW JERSEY
2005731MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
37523203MEDICAIDNEW 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: 11/21/2025

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