Healthcare Provider Details

I. General information

NPI: 1992972830
Provider Name (Legal Business Name): EMERGENCY CARE SERVICES OF NEW JERSEY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BROAD ST
WOODBURY NJ
08096-1617
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 856-853-2001
  • Fax:
Mailing address:
  • Phone: 856-686-4317
  • Fax: 856-848-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID J. ISTVAN
Title or Position: PRESIDENT
Credential: MD
Phone: 856-686-4342