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SOUTH JERSEY MEDICINE AND GERIATRICS PC NPI 1609829548


NPI Information

NPI: 1609829548
Provider Name: SOUTH JERSEY MEDICINE AND GERIATRICS, PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
103 CREEK CROSSING BLVD
HAINESPORT, NJ
ZIP 08036
Phone: (609) 518-0999
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SOUTH JERSEY MEDICINE AND GERIATRICS, PC is a geriatric medicine internal medicine in Hainesport, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SOUTH JERSEY MEDICINE AND GERIATRICS, PC NPI is 1609829548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 CREEK CROSSING BLVD
HAINESPORT, NJ
ZIP 08036-765
Phone: (609) 518-0999
Fax: (609) 518-0922

The provider's authorized official is Sameer Ramesh Patel .
The authorized official title is Director and has the following contact phone number (609) 518-0999.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 1/15/2008.


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
1207RG0300XInternal MedicineGeriatric MedicineMA07533000NEW 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
1070186VEFMEDICARE 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: 11/14/2023

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