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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEPTFORD INTERNAL MEDICINE ASSOCIATES LLC
NPI 1346725561
Clinic/Center - Primary Care in Deptford, NJ

Active since October 03, 2018CLIA 31D2298299 · Waiver
1132 COOPER STREET SUITE THREE, DEPTFORD, NJ 08096(856) 848-8060(856) 848-8038 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Oct 3, 2018 (2 updates tracked since 2018).

About Deptford Internal Medicine Associates Llc NPPES

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

DEPTFORD INTERNAL MEDICINE ASSOCIATES LLC (NPI 1346725561) is a healthcare organization registered as a primary care in Deptford, New Jersey and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Imran Azam Mirza, Owner, as its authorized official.

NPPES Registry Identity

NPI1346725561
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEPTFORD INTERNAL MEDICINE ASSOCIATES LLC
Location Address1132 COOPER STREET SUITE THREEDeptford, NJ 08096-3014
Mailing AddressPo Box 69Mickleton, NJ 08056-0069 · (856) 848-8060 · Fax (856) 848-8038
Phone(856) 848-8060
Fax(856) 848-8038
Organization SubpartNo
Authorized OfficialImran Azam MirzaOwner · (732) 743-5910
Enumeration DateOctober 3, 2018
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1346725561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1132 COOPER STREET SUITE THREE, Deptford, NJ 08096
Open in Google Maps ↗

Other Identifiers 1

Other25MA08024700NJ · State License

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 31D2298299

Deptford Internal Medicine Associates LLC · Deptford, NJ
Active · expires Jan 31, 2028
CLIA Number31D2298299
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorImran A. Mirza
Laboratory Phone(856) 848-8060
Laboratory LocationDeptford Internal Medicine Associates LLC1132 Cooper St, Deptford, NJ 08096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Deptford Internal Medicine Associates LLC's NPI number?

The NPI number for Deptford Internal Medicine Associates LLC is 1346725561. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Deptford Internal Medicine Associates LLC located?

Deptford Internal Medicine Associates LLC is located at 1132 Cooper Street Suite Three, Deptford, NJ 08096. The listed phone number is (856) 848-8060.

What is Deptford Internal Medicine Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Deptford Internal Medicine Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2298299) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deptford Internal Medicine Associates LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.