1760245880 NPI number — HUNTERDON SPECIALTY CARE, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760245880 NPI number — HUNTERDON SPECIALTY CARE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUNTERDON SPECIALTY CARE, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760245880
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 STATE ROUTE 31 RM 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLEMINGTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08822-5752
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-284-1125
Provider Business Mailing Address Fax Number:
908-284-2016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
207 STRYKERS RD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILLIPSBURG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08865-5401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-237-4279
Provider Business Practice Location Address Fax Number:
908-237-4280
Provider Enumeration Date:
02/01/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOFFMAN
Authorized Official First Name:
GUY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF REVENUE OFFICER
Authorized Official Telephone Number:
908-237-5495

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)