Healthcare Provider Details
I. General information
NPI: 1972451516
Provider Name (Legal Business Name): DOCTRONIC PHYSICIANS GROUP NJ, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2948 16TH ST STE 200-6
SAN FRANCISCO CA
94103-3613
US
IV. Provider business mailing address
6742 FOREST HILL BLVD STE 283
GREENACRES FL
33413-3321
US
V. Phone/Fax
- Phone: 415-340-2274
- Fax: 415-621-9221
- Phone: 415-340-2274
- Fax: 415-621-9221
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
FOLEY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 415-340-2274