Provider Demographics
NPI:1770541534
Name:HIGHTSTOWN MEDICAL ASSOCIATES PA
Entity type:Organization
Organization Name:HIGHTSTOWN MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELEANOR
Authorized Official - Last Name:MAUGERI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN AAS
Authorized Official - Phone:609-443-1150
Mailing Address - Street 1:186 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:BLDG.3 A SUITE 101
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1668
Mailing Address - Country:US
Mailing Address - Phone:609-443-1150
Mailing Address - Fax:609-799-9005
Practice Address - Street 1:186 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:BLDG. 3 A SUITE 101
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-1668
Practice Address - Country:US
Practice Address - Phone:609-443-1150
Practice Address - Fax:609-799-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ526665Medicare PIN