MEDICARE: DR. JAMES COVALESKY D.O.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB08004700	NJ

General Provider Information

NPI Number	:	1114925831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES COVALESKY D.O.

Provider Business Mailing Address
First Line	:	21 KILMER DRIVE
Second Line	:	BLDG. 2, STE. A
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751
Country	:	US
Telephone Number	:	732-967-6444
Fax Number	:	732-967-6445

Provider Business Practice Location Address
First Line	:	21 KILMER DRIVE
Second Line	:	BLDG 2, STE A
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751
Country	:	US
Telephone Number	:	732-967-6444
Fax Number	:	732-967-6445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/23/2025

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