Healthcare Provider Details
I. General information
NPI: 1427831080
Provider Name (Legal Business Name): PATIENT FIRST NEW JERSEY PHYSICIANS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2023
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
641 US HIGHWAY 130
HAMILTON NJ
08691-2101
US
IV. Provider business mailing address
5000 COX RD
GLEN ALLEN VA
23060-9263
US
V. Phone/Fax
- Phone: 609-245-2970
- Fax: 609-245-2971
- Phone: 804-968-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
S.
SOWERS
Title or Position: VICE PRESIDENT
Credential:
Phone: 804-968-5700