Healthcare Provider Details
I. General information
NPI: 1740624246
Provider Name (Legal Business Name): NEW JERSEY HEALTH NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2013
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 ENGLISH CREEK AVE BLDG 400
EGG HARBOR TWP NJ
08234-5549
US
IV. Provider business mailing address
2500 ENGLISH CREEK AVE BLDG 800
EGG HARBOR TWP NJ
08234-5549
US
V. Phone/Fax
- Phone: 609-677-7700
- Fax: 609-677-7701
- Phone: 609-568-5606
- Fax: 609-568-5877
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 25MA07083100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
JAMES
WURZER
Title or Position: PRESIDENT
Credential: M.D
Phone: 609-677-7700