Provider Demographics
NPI:1184331654
Name:NEW JERSEY MEDICAL ASSOCIATES PA
Entity type:Organization
Organization Name:NEW JERSEY MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRYAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-372-4230
Mailing Address - Street 1:23 JONATHAN CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3710
Mailing Address - Country:US
Mailing Address - Phone:856-372-4230
Mailing Address - Fax:856-372-4232
Practice Address - Street 1:WILLOW RIDGE EXECUTIVE OFFICE PARK 750 ROUTE 73 S
Practice Address - Street 2:STE 201A
Practice Address - City:EVESHAM
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-372-4230
Practice Address - Fax:856-372-4232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty