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PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
NPI 1124254552
Internal Medicine - Adolescent Medicine in Camden, NJ

Active since May 29, 2009
1300 PRINCESS AVE, CAMDEN, NJ 08103(856) 964-5569(856) 964-0744 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parkside Adolescent And Adult Medical Clinic NPPES

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

PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC (NPI 1124254552) is a healthcare organization registered as an adolescent medicine in Camden, New Jersey and active in the NPI registry since May 2009. The organization lists Sherita Monai Latimore-collier, Md, as its authorized official.

NPPES Registry Identity

NPI1124254552
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NamePARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
Location Address1300 PRINCESS AVECamden, NJ 08103-2911
Mailing Address1300 Princess AveCamden, NJ 08103-2911 · (856) 964-5569 · Fax (856) 964-0744
Phone(856) 964-5569
Fax(856) 964-0744
Organization SubpartNo
Authorized OfficialSherita Monai Latimore-collierMd · (856) 964-5569
Enumeration DateMay 29, 2009
Last NPPES UpdateJuly 30, 2009
✔ NPI 1124254552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in NJ · 25MAO8519200
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1300 PRINCESS AVE, Camden, NJ 08103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KINGDOM CAREGIVERS
In Home Supportive Care
1300 PRINCESS AVE
CAMDEN, NJ 08103
Camden County (856) 843-5433
KINGDOM PRIMARY CARE
Internal Medicine
1300 PRINCESS AVE
CAMDEN, NJ 08103
Camden County (856) 272-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parkside Adolescent And Adult Medical Clinic's NPI number?

The NPI number for Parkside Adolescent And Adult Medical Clinic is 1124254552. It was assigned to this organization in the NPPES registry on May 29, 2009.

Where is Parkside Adolescent And Adult Medical Clinic located?

Parkside Adolescent And Adult Medical Clinic is located at 1300 Princess Ave, Camden, NJ 08103. The listed phone number is (856) 964-5569.

What is Parkside Adolescent And Adult Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Parkside Adolescent And Adult Medical Clinic was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.