MEDICARE: 100 PERCENT HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	208D00000X	General Practice Physician
3	207RI0200X	Infectious Disease Physician
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1023820370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	100 PERCENT HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2106 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1046
Country	:	US
Telephone Number	:	609-699-5750
Fax Number	:	609-699-5752

Provider Business Practice Location Address
First Line	:	1418 NEW RD STE 1C
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1179
Country	:	US
Telephone Number	:	609-699-5750
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ATHANASIOS G. PAPASTAMELOS
Credential	:
Telephone Number	:	609-926-5451

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/14/2026

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Directions to “100 PERCENT HEALTHCARE LLC ” Practice Location

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