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TOMS RIVER PRIMARY CARE LLC NPI 1902971484


NPI Information

NPI: 1902971484
Provider Name: TOMS RIVER PRIMARY CARE LLC

Other Name: INDIVIDUAL PHYSICIAN RENDERING HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0969098

Address:
3 PLAZA DRIVE
SUITE 6 TOMS RIVER PRIMARY CARE LLC
TOMS RIVER, NJ
ZIP 08757
Phone: (732) 914-0070
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TOMS RIVER PRIMARY CARE LLC is a family medicine in Toms River, 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. TOMS RIVER PRIMARY CARE LLC NPI is 1902971484. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Individual Physician Rendering Healthcare.

The provider's business location address is:

3 PLAZA DRIVE
SUITE 6 TOMS RIVER PRIMARY CARE LLC
TOMS RIVER, NJ
ZIP 08757-764
Phone: (732) 914-0070
Fax: (732) 914-0071

The provider's authorized official is Jennifer Lee Giardina .
The authorized official title is Managing Member Medical Director To and has the following contact phone number (732) 914-0070.

The CLIA number assigned to this NPI record is 31D0969098 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily Medicine25MB05373700NEW JERSEYYes

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

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