| Nj Primary Healthcare Center | |
|
76 W Jimmie Leeds Rd Ste 201 Galloway NJ 08205-9417 | |
| (609) 909-5355 | |
| (609) 909-5357 |
| Full Name | Nj Primary Healthcare Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 76 W Jimmie Leeds Rd Ste 201, Galloway, New Jersey |
| Authorized Official Name and Position | Sujood Ahmed (OWNER) |
| Authorized Official Contact | 6093857220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Primary Healthcare Center 76 W Jimmie Leeds Rd Ste 201 Galloway NJ 08205-9417 Ph: (609) 909-5355 | Nj Primary Healthcare Center 76 W Jimmie Leeds Rd Ste 201 Galloway NJ 08205-9417 Ph: (609) 909-5355 |
| NPI Number | 1366137572 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 7618333626 |
|---|---|
| Medicare Enrollment ID | O20230517002712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366137572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sujood Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932120615 PECOS PAC ID: 5890697460 Enrollment ID: I20050901000168 |
| Provider Name | Laverne Graves Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174833495 PECOS PAC ID: 9537429485 Enrollment ID: I20180214001129 |
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Atlanticare Mission Health Care Galloway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54 W Jimmie Leeds Rd, Galloway, NJ 08205 Phone: 609-404-7300 Fax: 609-572-6008 | |
Imad M Aridi Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 W Jimmie Leeds Rd, 76 West Park Centre Suite 301, Galloway, NJ 08205 Phone: 609-652-9111 Fax: 609-652-1283 | |
Diane Marchesani Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 W Jimmie Leeds Rd, Suite 2400, Galloway, NJ 08205 Phone: 609-652-2240 Fax: 609-652-0044 | |
Williams Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Chris Gaupp Dr, Suite C2, Galloway, NJ 08205 Phone: 609-652-2033 Fax: 609-652-3318 | |
Atlantic Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 72 W Jimmie Leeds Rd, Suite 2100, Galloway, NJ 08205 Phone: 609-652-1115 Fax: 609-652-1145 | |
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