1700265915 NPI number — JAMES MARC SCHLESINGER MD PC

Table of content: (NPI 1700265915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700265915 NPI number — JAMES MARC SCHLESINGER MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES MARC SCHLESINGER MD 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:
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:
1700265915
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPARTMENT 410 PO BOX 986520
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02298-6520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-553-0964
Provider Business Mailing Address Fax Number:
207-777-1439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 MULE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08755-5028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-738-1659
Provider Business Practice Location Address Fax Number:
704-871-2128
Provider Enumeration Date:
05/20/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SCHLESINGER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
973-325-6716

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0536270 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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