OMEGA PHYSICIANS LLC NPI 1629653563

NPI Information

  • NPI: 1629653563
  • Provider Name: OMEGA PHYSICIANS LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 31D2313149
  • Address: 103 OLD MARLTON PIKE STE 124
    MEDFORD, NJ
    ZIP 08055
  • Phone: (888) 575-9162

Map and Directions

Get Directions

NPI Details

OMEGA PHYSICIANS LLC is an internal medicine in Medford, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OMEGA PHYSICIANS LLC NPI is 1629653563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 OLD MARLTON PIKE STE 124
MEDFORD, NJ
ZIP 08055-772
Phone: (888) 575-9162

The provider's authorized official is Nagasasikanth R Mopuri .
The authorized official title is Owner and has the following contact phone number (404) 702-0995.

The CLIA number assigned to this NPI record is 31D2313149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 9/5/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4163WP0808XRegistered NursePsychiatric/Mental HealthNo
5207R00000XInternal MedicineYes
6207RA0401XInternal MedicineAddiction MedicineNo
7207VX0000XObstetrics & GynecologyObstetricsNo
82084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
9208VP0000XPain MedicinePain MedicineNo
10225100000XPhysical TherapistNo
11363LA2200XNurse PractitionerAdult HealthNo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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

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