| Patnaik Internal Medicine LLC | |
|
2119 Klockner Rd Hamilton NJ 08690-3417 | |
| (609) 249-4200 | |
| (855) 538-9804 |
| Full Name | Patnaik Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2119 Klockner Rd, Hamilton, New Jersey |
| Authorized Official Name and Position | Asit Patnaik (OWNER) |
| Authorized Official Contact | 8563136071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patnaik Internal Medicine LLC 100 Starboard Way Mount Laurel NJ 08054-6116 Ph: (856) 313-6071 | Patnaik Internal Medicine LLC 2119 Klockner Rd Hamilton NJ 08690-3417 Ph: (609) 249-4200 |
| NPI Number | 1346131356 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 11/16/2025 |
| Certification Date | 11/16/2025 |
| Medicare PECOS PAC ID | 5890296834 |
|---|---|
| Medicare Enrollment ID | O20250829004018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346131356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Asit Patnaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831280650 PECOS PAC ID: 8729144001 Enrollment ID: I20090312000048 |
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