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DEER CHASE MEDICAL ASSOCIATES PA NPI 1649280629


NPI Information

NPI: 1649280629
Provider Name: DEER CHASE MEDICAL ASSOCIATES PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D0722324

Address:
160 STATE HIGHWAY 37 WEST
SUITE A DEER CHASE PROFESSIONAL PARK
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 286-0440
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DEER CHASE MEDICAL ASSOCIATES PA is an internal medicine in Toms River, 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. DEER CHASE MEDICAL ASSOCIATES PA NPI is 1649280629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 STATE HIGHWAY 37 WEST
SUITE A DEER CHASE PROFESSIONAL PARK
TOMS RIVER, NJ
ZIP 08755-056
Phone: (732) 286-0440
Fax: (732) 286-2885

The provider's authorized official is Ralph Victor Guarino .
The authorized official title is Corporate Officer and has the following contact phone number (732) 286-0440.

The CLIA number assigned to this NPI record is 31D0722324 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 2/1/2010.


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
1207R00000XInternal 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16610005MEDICAIDNEW JERSEY
2630276MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 4/28/2024

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.