Healthcare Provider Details
I. General information
NPI: 1578286548
Provider Name (Legal Business Name): PATIENT FIRST MD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 STATE ROUTE 35 STE 101
MIDDLETOWN NJ
07748-2609
US
IV. Provider business mailing address
1000 STATE ROUTE 35 STE 101
MIDDLETOWN NJ
07748-2609
US
V. Phone/Fax
- Phone: 732-629-9699
- Fax:
- Phone: 732-629-9699
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084E0001X |
| Taxonomy | Epilepsy Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATTHEW
DAVIS
Title or Position: CEO
Credential: MD
Phone: 615-479-2999