ANGELIC PRIMARY MEDICINE LLC – NPI #1477199446
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

ANGELIC PRIMARY MEDICINE LLC is a provider located in PLEASANTVILLE, NJ. NPPES has assigned the NPI number 1477199446 to ANGELIC PRIMARY MEDICINE LLC on November 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Mar 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELIC PRIMARY MEDICINE LLC below.

NPI Profile for
ANGELIC PRIMARY MEDICINE LLC

NPI Number
1477199446
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANGELIC PRIMARY MEDICINE LLC
Primary location
8025 BLACK HORSE PIKE STE 501
PLEASANTVILLE, NJ 08232-2967
Phone: (609) 464-1135 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANET GIBSON
OWNER/DIRECTOR
Phone: (609) 464-1135
Updated
Certification Date
Mar 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
363LP2300X
- Nurse Practitioner / Primary Care
363LG0600X
- Nurse Practitioner / Gerontology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
8025 BLACK HORSE PIKE,
PLEASANTVILLE, NJ 77025-1669