| Leading Medical Care Llc | |
|
3 Hospital Plz Suite 409 Old Bridge NJ 08857-3093 | |
| (973) 975-3084 | |
| Not Available |
| Full Name | Leading Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Hospital Plz, Old Bridge, New Jersey |
| Authorized Official Name and Position | James Covalesky (PRESIDENT) |
| Authorized Official Contact | 9739753084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Medical Care Llc 3 Cherry Dr Colts Neck NJ 07722-2022 Ph: (973) 975-3084 | Leading Medical Care Llc 3 Hospital Plz Suite 409 Old Bridge NJ 08857-3093 Ph: (973) 975-3084 |
| NPI Number | 1023360476 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Medicare PECOS PAC ID | 7719139427 |
|---|---|
| Medicare Enrollment ID | O20121204000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023360476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB08004700 (New Jersey) | Primary |
| Provider Name | James Covalesky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114925831 PECOS PAC ID: 5799712824 Enrollment ID: I20110119000585 |
| Provider Name | Tara A Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483835 PECOS PAC ID: 1153672266 Enrollment ID: I20180927002667 |
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