| Ethos Primary Care PC | |
|
177 W Mill Rd Long Valley NJ 07853-3439 | |
| (908) 867-0060 | |
| (908) 867-0059 |
| Full Name | Ethos Primary Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 177 W Mill Rd, Long Valley, New Jersey |
| Authorized Official Name and Position | Ronald Weiss (PRESIDENT) |
| Authorized Official Contact | 9088670060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Primary Care PC 177 W Mill Rd Long Valley NJ 07853-3439 Ph: (908) 867-0060 | Ethos Primary Care PC 177 W Mill Rd Long Valley NJ 07853-3439 Ph: (908) 867-0060 |
| NPI Number | 1912396466 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Medicare PECOS PAC ID | 2668428731 |
|---|---|
| Medicare Enrollment ID | O20050323000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912396466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ronald Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215047386 PECOS PAC ID: 4183699556 Enrollment ID: I20040830000350 |
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