Provider Demographics
NPI:1972618916
Name:TEMPUS MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:TEMPUS MEDICAL SERVICES CORP
Other - Org Name:TEMPUS MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUNNEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-642-7400
Mailing Address - Street 1:1000 BIRCHFIELD DR STE 1007
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4019
Mailing Address - Country:US
Mailing Address - Phone:856-642-7400
Mailing Address - Fax:856-642-7433
Practice Address - Street 1:1000 BIRCHFIELD DR STE 1007
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4019
Practice Address - Country:US
Practice Address - Phone:856-642-7400
Practice Address - Fax:856-642-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS005490003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7366604Medicaid
2053847OtherPK