PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
NPI 1417393943
Family Medicine - Adult Medicine in Mount Laurel, NJ

Active since May 10, 2013
4510 CHURCH RD, MOUNT LAUREL, NJ 08054(856) 439-0060(856) 452-0344 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Phoenix Housecall Associates Of South Jersey NPPES

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

PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY (NPI 1417393943) is a healthcare organization registered as an adult medicine in Mount Laurel, New Jersey and active in the NPI registry since May 2013. The organization lists Thomas Yon Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1417393943
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
Location Address4510 CHURCH RDMount Laurel, NJ 08054-2210
Mailing Address4510 Church RdMount Laurel, NJ 08054-2210 · (856) 439-0060 · Fax (856) 452-0344
Fax(856) 452-0344
Organization SubpartNo
Authorized OfficialThomas Yon LeeOwner · (856) 439-0060
Enumeration DateMay 10, 2013
Last NPPES UpdateOctober 24, 2014
✔ NPI 1417393943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NJ · 25MA07756900
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4510 CHURCH RD, Mount Laurel, NJ 08054

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 5

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

Nurse Practitioner (Gerontology)
4510 CHURCH RD
MOUNT LAUREL, NJ 08054
Nurse Practitioner (Family)
4510 CHURCH RD
MOUNT LAUREL, NJ 08054
Nurse Practitioner (Family)
4510 CHURCH RD
MOUNT LAUREL, NJ 08054
Clinic/Center (Primary Care)
4510 CHURCH RD
MOUNT LAUREL, NJ 08054
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4510 CHURCH RD
MOUNT LAUREL, NJ 08054

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 Phoenix Housecall Associates Of South Jersey's NPI number?

The NPI number for Phoenix Housecall Associates Of South Jersey is 1417393943. It was assigned to this organization in the NPPES registry on May 10, 2013.

Where is Phoenix Housecall Associates Of South Jersey located?

Phoenix Housecall Associates Of South Jersey is located at 4510 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 439-0060.

What is Phoenix Housecall Associates Of South Jersey's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Phoenix Housecall Associates Of South Jersey was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.