1588035406 NPI number — HUNTERDON PRIMARY 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 1588035406 NPI number — HUNTERDON PRIMARY CARE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUNTERDON PRIMARY 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:
HUNTERDON INTERNAL MEDICINE ASSOCIATES
Provider Other Organization Name Type Code:
3
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:
1588035406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 MINNEAKONING RD
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:
08822-5726
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:
6 SAND HILL RD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
FLEMINGTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08822-4946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-782-8019
Provider Business Practice Location Address Fax Number:
908-782-7195
Provider Enumeration Date:
10/19/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SKILLINGE
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT, MEDICAL PRACTICES
Authorized Official Telephone Number:
908-788-6160

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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