Healthcare Provider Details

I. General information

NPI: 1962977249
Provider Name (Legal Business Name): CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 US HIGHWAY 206 STE 101
HILLSBOROUGH NJ
08844-1529
US

IV. Provider business mailing address

PO BOX 824320
PHILADELPHIA PA
19182-1529
US

V. Phone/Fax

Practice location:
  • Phone: 908-271-2102
  • Fax: 908-271-9203
Mailing address:
  • Phone: 215-662-6187
  • Fax: 866-586-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: STACY GRECO
Title or Position: SR. ENROLLMENT MANAGER
Credential:
Phone: 223-341-8516