| Biofourmis Care Nj Llc | |
|
820 Bear Tavern Rd Ewing NJ 08628-1021 | |
| (855) 770-7771 | |
| (855) 770-7771 |
| Full Name | Biofourmis Care Nj Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 820 Bear Tavern Rd, Ewing, New Jersey |
| Authorized Official Name and Position | Devion Smith (DIRECTOR, PAYER CONTRACTING) |
| Authorized Official Contact | 4243268711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biofourmis Care Nj Llc 33 Arch St Boston MA 02110-1424 Ph: (310) 626-0149 | Biofourmis Care Nj Llc 820 Bear Tavern Rd Ewing NJ 08628-1021 Ph: (855) 770-7771 |
| NPI Number | 1528728375 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 7214328244 |
|---|---|
| Medicare Enrollment ID | O20211229000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528728375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Michele Javadpoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124422951 PECOS PAC ID: 0648264531 Enrollment ID: I20170718000541 |
| Provider Name | Kimberly J Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366592859 PECOS PAC ID: 7416924170 Enrollment ID: I20211229002152 |
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