TELESCOPE HEALTH MEDICAL GROUP NJ, PC - NPI 1083410054 - Emergency Medicine in Jacksonville, FL

Q: What is Telescope Health Medical Group Nj, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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About Telescope Health Medical Group Nj, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELESCOPE HEALTH MEDICAL GROUP NJ, PC (NPI 1083410054) is a healthcare organization registered as an emergency medicine in Jacksonville, Florida and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Matthew J Thompson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083410054

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameTELESCOPE HEALTH MEDICAL GROUP NJ, PC

Location Address841 PRUDENTIAL DR UNIT 1410Jacksonville, FL 32207-8364

Mailing Address841 Prudential Dr Unit 1410Jacksonville, FL 32207-8364 · (904) 373-5304 · Fax (904) 373-5303

Phone(904) 373-5304

Fax(904) 373-5303

Organization SubpartNo

Authorized OfficialMatthew J ThompsonCeo · (904) 373-5303

Enumeration DateFebruary 20, 2025

NPPES CertifiedFebruary 20, 2025

✔ NPI 1083410054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

841 PRUDENTIAL DR UNIT 1410, Jacksonville, FL 32207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2195047

Telescope Health LLC · Jacksonville, FL

Active · expires Oct 5, 2026

CLIA Number10D2195047

Laboratory TypeCovid Testing Site

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorMatthew J. Thompson

Laboratory Phone(904) 373-5304

Laboratory LocationTelescope Health LLC841 Prudential Drive Suite 1400, Jacksonville, FL 32207

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELESCOPE HEALTH LLC

Emergency Medicine