Provider Demographics
NPI:1578622627
Name:PHYSICIAN INTERPRETATIONS OF NEW JERSEY
Entity Type:Organization
Organization Name:PHYSICIAN INTERPRETATIONS OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:CONA
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:856-424-3045
Mailing Address - Street 1:23 CANDLEWYCK WAY
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1226
Mailing Address - Country:US
Mailing Address - Phone:856-424-3045
Mailing Address - Fax:856-424-6084
Practice Address - Street 1:131 MADISON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2043
Practice Address - Country:US
Practice Address - Phone:609-702-0589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDD4344OtherRAILROAD MEDICARE
P00330663OtherRAILROAD MEDICARE (ARGILA
NJ7781620OtherAETNA HEALTH PLANS
NJ2372431000OtherAMERIHEALTH HMO
NJP00227826 (ROUGH)OtherRAILROAD MEDICARE
NJP00344917OtherRAILROAD (BARNES)
NJP00227826 (ROUGH)OtherRAILROAD MEDICARE
NJ2372431000OtherAMERIHEALTH HMO