TABERNACLE FAMILY PHYSICIANS LLC (NPI# 1437203874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437203874 |
| Entity Type | Organization |
| Organization Name | TABERNACLE FAMILY PHYSICIANS LLC |
| Other Organization Name | TABERNACLE FAMILY MEDICINE |
| Practice Address |
1529 Route 206 Suite L Tabernacle NJ 08088-8801 |
| Practice Telephone | 6092680707 |
| Practice Fax Number | 6092687191 |
| Mailing Telephone | 6092680707 |
| Mailing Fax Number | 6092687191 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-09-10 |
| Authorized Official Name | DR. PARAG S PATEL (PARTNER) |
| Authorized Official Telephone | 6092680707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tabernacle Family Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TABERNACLE FAMILY PHYSICIANS LLC | 1529 Rte 206 Ste L, Vincentown, NJ 08088-8801 |
| Street Address |
1529 ROUTE 206 SUITE L |
| City | TABERNACLE |
| State | NJ |
| Zip Code | 08088-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699287912 | Love Your Smile Dental Center LLC | Dentist | 1529 Route 206, Unit D, Tabernacle, NJ 08088 | 2017-10-26 |
| 1396098851 | Frances Ransome | Counselor | 1529 Route 206, Suite D, Tabernacle, NJ 08088-8801 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768275 | Jenea Dawkins | Counselor | 511 Meadowyck Lane, Southampton, NJ 08088 | 2014-11-24 |
| 1710303078 | Casey Ray Gillick | Physical Therapist | 1805 Route 206, Suite 3 Novacare Rehabilitation, Southampton, NJ 08088 | 2014-03-11 |
| 1891119632 | Hampton Lakes Emergency Squad, Inc | Ambulance | 4 Holly Blvd, Southampton, NJ 08088 | 2014-02-14 |
| 1851715064 | Devon Berry | Counselor | 1390 Old Indian Mills Road, Shamong Road Group Home, Shamong, NJ 08088 | 2014-02-07 |
| 1417280876 | Caringheartsmobiletesting | In Home Supportive Care | 1429 Route 206, A, Tabernacle, NJ 08088 | 2009-09-16 |
| 1114073269 | Linda J Edwards | Obstetrics & Gynecology | 5045 Route 130 South, Suite I, Delran, NJ 08088 | 2007-01-25 |
| 1326451154 | Chaza Wright | Obstetrics & Gynecology | 1805 Route 206, Units 11, 12, & 13, Southampton, NJ 08088 | 2014-06-10 |
| 1699710558 | Fayez Mikhail, LLC | Internal Medicine | 23 Mayfair Rd, Southampton, NJ 08088-1014 | 2006-06-17 |
| 1770696841 | Fayez Mikhail | Internal Medicine | 23 Mayfair Rd, Southampton, NJ 08088-1014 | 2006-08-15 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| Find all providers in zip 08088 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1922622554 | Alkindi Medical Consultant | Clinic/Center | 99 Baldwin Pl, Bloomfield, NJ 07003-6030 | 2020-05-29 |
| 1558982439 | Omegahealth LLC | Clinic/Center | 90 E Halsey Rd Ste 333, Parsippany, NJ 07054-3709 | 2020-05-01 |
| 1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
| 1134760754 | Medisure Inc. | Clinic/Center | 2310 Inverness Dr, Toms River, NJ 08753-6313 | 2019-10-04 |
| 1477012698 | Health and Integrative Wellness LLC | Clinic/Center | 59 E Mill Rd Ste 201-1, Long Valley, NJ 07853-6215 | 2019-03-18 |
| 1093289852 | Idama Healthcare | Clinic/Center | 4 S Orange Ave Suite 253, South Orange, NJ 07079-1702 | 2019-01-15 |
| 1992278709 | Dr David Bee and Associates LLC | Clinic/Center | 1304 Route 47 Unit M, Rio Grande, NJ 08242-1399 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | TABERNACLE |
| Zip Code | 08088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.