| Parkway Value Based Care Of Nj Pllc | |
|
2150 Nj-38 Cherry Hill NJ 08002 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Parkway Value Based Care Of Nj Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Nj-38, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Perry Stein (OWNER) |
| Authorized Official Contact | 7185340689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Value Based Care Of Nj Pllc 383 Ocean Pkwy Brooklyn NY 11218-4756 Ph: () - | Parkway Value Based Care Of Nj Pllc 2150 Nj-38 Cherry Hill NJ 08002 Ph: (718) 534-0689 |
| NPI Number | 1285497255 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 7618317611 |
|---|---|
| Medicare Enrollment ID | O20240424001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285497255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Perry Stein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104932508 PECOS PAC ID: 0648234823 Enrollment ID: I20240424001604 |
| Provider Name | Africa Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841999562 PECOS PAC ID: 2769822766 Enrollment ID: I20240424001698 |
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