PRIMARY CARE SERVICES AT THE EVERGREENS
NPI 1457820847
Internal Medicine in Moorestown, NJ
About Primary Care Services At The Evergreens NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE SERVICES AT THE EVERGREENS (NPI 1457820847) is a healthcare organization registered as an internal medicine in Moorestown, New Jersey and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through July 28, 2026 and lists Susan Ahern, Svp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Names 1
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2189364
- Facility Type
- Physician Office
- Certificate Effective Date
- July 29, 2024
- Certificate Expiration Date
- July 28, 2026
- Laboratory Director
- HEATHER VETTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Primary Care Services At The Evergreens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457820847, enumerated as an "organization" on November 15, 2018.
The provider is located at 309 BRIDGEBORO ROAD MOORESTOWN, NJ 08057 and the phone number is (410) 778-7300.
Internal Medicine with taxonomy code 207R00000X.
