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Contact Information

COMPLETE CARE OF SOUTH JERSEY
4 BYPASS RD STE 104
SALEM, NJ08079-2053
 Phone: 856-887-3005
 Fax: 856-759-4035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COMPLETE CARE OF SOUTH JERSEY

NPI Number 1518320555
LBN Legal business name COMPLETE CARE OF SOUTH JERSEY
Authorized official WAMIQ SULTAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2016
Last updated 10/17/2024 - More than a year ago
Identifiers
NJ License # 25MA06336400
NJ License # 26NJ00328900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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