MEDICARE: PHYSICIAN INTERPRETATIONS OF NEW JERSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician
2	2085U0001X	Diagnostic Ultrasound Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD4344	OTHER	NJ	RAILROAD MEDICARE
2	P00330663	OTHER		RAILROAD MEDICARE (ARGILA
5	P00227826 (ROUGH)	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	7781620	OTHER	NJ	AETNA HEALTH PLANS
4	2372431000	OTHER	NJ	AMERIHEALTH HMO
6	P00344917	OTHER	NJ	RAILROAD (BARNES)

General Provider Information

NPI Number	:	1578622627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN INTERPRETATIONS OF NEW JERSEY

Provider Business Mailing Address
First Line	:	23 CANDLEWYCK WAY
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1226
Country	:	US
Telephone Number	:	856-424-3045
Fax Number	:	856-424-6084

Provider Business Practice Location Address
First Line	:	131 MADISON AVE
Second Line	:	SUITE B
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-2043
Country	:	US
Telephone Number	:	609-702-0589
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TOM CONA II
Credential	:
Telephone Number	:	856-424-3045

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	04/20/2008

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Directions to “PHYSICIAN INTERPRETATIONS OF NEW JERSEY ” Practice Location

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