WENONAH MEDICAL ASSOCIATES P.A. NPI 1629037882

NPI Information

  • NPI: 1629037882
  • Provider Name: WENONAH MEDICAL ASSOCIATES, P.A.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 107 E MANTUA AVE
    WENONAH, NJ
    ZIP 08090
  • Phone: (856) 468-6868

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NPI Details

WENONAH MEDICAL ASSOCIATES, P.A. is a family medicine in Wenonah, 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. WENONAH MEDICAL ASSOCIATES, P.A. NPI is 1629037882. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 E MANTUA AVE
WENONAH, NJ
ZIP 08090-950
Phone: (856) 468-6868
Fax: (856) 464-1855

The provider's authorized official is Jeffrey Alken .
The authorized official title is President and has the following contact phone number (856) 468-6868.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 12/21/2009.

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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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
12793407MEDICAIDNEW JERSEY
2424531MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
3424531MEDICARE 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: 3/30/2025

NPI Synchronization or Removal

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