Healthcare Provider Details

I. General information

NPI: 1114925831
Provider Name (Legal Business Name): JAMES COVALESKY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 KILMER DRIVE BLDG 2, STE A
MORGANVILLE NJ
07751
US

IV. Provider business mailing address

21 KILMER DRIVE BLDG. 2, STE. A
MORGANVILLE NJ
07751
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-6444
  • Fax: 732-967-6445
Mailing address:
  • Phone: 732-967-6444
  • Fax: 732-967-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB08004700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: