Waterford Family Practice

LBN: Gregg A Pearson Do Pc
Waterford Family Practice is an health care organization with primary practice located at 369 South White Horse Pike , Waterford Works NJ 08089-0849. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Gregg A Pearson Do Pc can be contacted via phone (609) 561-5900, or through Pearson, Gregg A via phone (609) 561-5900.

Contact Information

Primary practice address
369 South White Horse Pike Waterford Works NJ 08089-0849
Phone: (609) 561-5900
Fax: (609) 561-8989
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Gregg A Doctor of Osteopathy (DO)
Phone: (609) 561-5900

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MB72474 New Jersey

Profile Details

NPI number 1164621835
LBN Legal business name Gregg A Pearson Do Pc
DBA Doing business as Waterford Family Practice
Authorized official Pearson, Gregg A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164621835 NPPES
New Jersey Other 2155351000 KEYSTONE
New Jersey MEDICAID 8538808 KEYSTONE
New Jersey Other 2158351001 KEYSTONE
New Jersey Other 2155351000 KEYSTONE

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