MOORESTOWN PRIMARY CARE NPI 1790462398

NPI Information

  • NPI: 1790462398
  • Provider Name: MOORESTOWN PRIMARY CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1221 N CHURCH ST # 104
    MOORESTOWN, NJ
    ZIP 08057
  • Phone: (856) 394-9513

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NPI Details

MOORESTOWN PRIMARY CARE is a primary care clinic center in Moorestown, NJ. MOORESTOWN PRIMARY CARE NPI is 1790462398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1221 N CHURCH ST # 104
MOORESTOWN, NJ
ZIP 08057-245
Phone: (856) 394-9513

The provider's authorized official is Varsha N Shah .
The authorized official title is Medical Directoe and has the following contact phone number (856) 111-1111.

The enumeration date for this NPI number is 7/5/2023 and was last updated on 8/11/2023.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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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