NJ PREVENTIVE HEALTH EDGE MEDICAL PC – NPI #1578353835
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NJ PREVENTIVE HEALTH EDGE MEDICAL PC is a provider located in MARLTON, NJ. NPPES has assigned the NPI number 1578353835 to NJ PREVENTIVE HEALTH EDGE MEDICAL PC on May 09, 2025. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on May 13, 2025. 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 NJ PREVENTIVE HEALTH EDGE MEDICAL PC below.
NPI Profile for
NJ PREVENTIVE HEALTH EDGE MEDICAL PC
(more than a year ago)
MARLTON, NJ 08053-3422 Phone: (917) 310-5621 Fax:
PRESIDENT
Phone: (917) 310-5621
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.
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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| 363LP2300X - Nurse Practitioner / Primary Care |
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| 207R00000X - Internal Medicine |
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| 163WG0000X - Registered Nurse / General Practice |
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.