Provider Demographics
NPI:1225215320
Name:DOCTOR'S CARE CENTER, P.A.
Entity Type:Organization
Organization Name:DOCTOR'S CARE CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OFER
Authorized Official - Middle Name:AVI
Authorized Official - Last Name:WERTHAIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-238-6800
Mailing Address - Street 1:579 CRANBURY RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5405
Mailing Address - Country:US
Mailing Address - Phone:732-238-6800
Mailing Address - Fax:732-238-9696
Practice Address - Street 1:579 CRANBURY RD
Practice Address - Street 2:SUITE A
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5405
Practice Address - Country:US
Practice Address - Phone:732-238-6800
Practice Address - Fax:732-238-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA054770200261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ122896Medicare PIN
NJE69478Medicare UPIN