Provider Demographics
NPI:1598809766
Name:PATRICK G TEMPERA MD PC
Entity Type:Organization
Organization Name:PATRICK G TEMPERA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:TEMPERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-851-2771
Mailing Address - Street 1:PO BOX 3455
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-1897
Mailing Address - Country:US
Mailing Address - Phone:908-851-2771
Mailing Address - Fax:908-851-7066
Practice Address - Street 1:2333 MORRIS AVE
Practice Address - Street 2:SUITE C 101
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5714
Practice Address - Country:US
Practice Address - Phone:908-851-2771
Practice Address - Fax:908-851-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53984208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5458501Medicaid
DP5251OtherMEDICARE RAILROAD
DP5251OtherMEDICARE RAILROAD