Healthcare Provider Details

I. General information

NPI: 1740192665
Provider Name (Legal Business Name): EXCLUSIVE PHYSICIANS- NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 ROUTE 50 STE L
MAYS LANDING NJ
08330-2158
US

IV. Provider business mailing address

PO BOX 3790
SOUTHFIELD MI
48037-3790
US

V. Phone/Fax

Practice location:
  • Phone: 248-336-4000
  • Fax: 248-336-9137
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TED NAMAN
Title or Position: MD
Credential:
Phone: 248-336-4000