Healthcare Provider Details

I. General information

NPI: 1780916254
Provider Name (Legal Business Name): NJ CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 DEMOTT LN SUITE 2
SOMERSET NJ
08873-4875
US

IV. Provider business mailing address

225 DEMOTT LN SUITE 2
SOMERSET NJ
08873-4875
US

V. Phone/Fax

Practice location:
  • Phone: 908-930-6891
  • Fax: 732-246-3644
Mailing address:
  • Phone: 908-930-6891
  • Fax: 732-246-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number25MA08258500
License Number StateNJ

VIII. Authorized Official

Name: DR. AHMED ABDEL MEGID
Title or Position: PHYSICIAN/RHEUMATOLOGIST
Credential: M.D.
Phone: 908-930-6891