Healthcare Provider Details

I. General information

NPI: 1396071403
Provider Name (Legal Business Name): NEW JERSEY PHYSICIAN CONSULTANTS SOLUTIONS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2009
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 JAMES ST
EDISON NJ
08818
US

IV. Provider business mailing address

PO BOX 11952
NEWARK NJ
07101-4952
US

V. Phone/Fax

Practice location:
  • Phone: 732-321-7493
  • Fax: 732-906-4986
Mailing address:
  • Phone: 330-470-3700
  • Fax: 330-497-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE LESTER-SIMMONDS
Title or Position: PRESIDENT
Credential:
Phone: 866-885-5522