Healthcare Provider Details

I. General information

NPI: 1932018173
Provider Name (Legal Business Name): CLINICAL HEALTHCARE ASSOCIATES OF NEW JERSEY SPECIALTY PRACTICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PLAINSBORO RD
PLAINSBORO NJ
08536-1915
US

IV. Provider business mailing address

5 PLAINSBORO RD
PLAINSBORO NJ
08536-1915
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-5333
  • Fax:
Mailing address:
  • Phone: 215-829-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

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