Healthcare Provider Details

I. General information

NPI: 1679642011
Provider Name (Legal Business Name): HEALTH MED ASSOCIATES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 S SOUTH CAROLINA AVE
ATLANTIC CITY NJ
08401-7241
US

IV. Provider business mailing address

24 S SOUTH CAROLINA AVE
ATLANTIC CITY NJ
08401-7241
US

V. Phone/Fax

Practice location:
  • Phone: 609-345-8000
  • Fax: 609-345-0088
Mailing address:
  • Phone: 609-345-6000
  • Fax: 609-345-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA04127400
License Number StateNJ

VIII. Authorized Official

Name: MR. MATTHEW STERN
Title or Position: DIRECTOR
Credential:
Phone: 609-345-8000