What is OMEGA PHYSICIANS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629653563, enumerated as a organization on March 12, 2021.

Where is the provider located?

The provider is located at 103 OLD MARLTON PIKE STE 124 MEDFORD, NJ 08055 and the phone number is (888) 575-9162.

What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

OMEGA PHYSICIANS LLC - NPI 1629653563 - Internal Medicine in Medford, NJ

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About Omega Physicians Llc NPPES

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

OMEGA PHYSICIANS LLC (NPI 1629653563) is a healthcare organization registered as an internal medicine in Medford, New Jersey and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through October 24, 2026, maintains 3 additional practice locations, and lists Nagasasikanth R Mopuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1629653563

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameOMEGA PHYSICIANS LLC

Location Address103 OLD MARLTON PIKE STE 124Medford, NJ 08055-8772

Mailing Address103 Old Marlton Pike Ste 124Medford, NJ 08055-8772 · (888) 575-9162 · Fax (980) 987-4391

Phone(888) 575-9162

Organization SubpartNo

Authorized OfficialNagasasikanth R MopuriOwner · (404) 702-0995

Enumeration DateMarch 12, 2021

Last NPPES UpdateAugust 26, 20254 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1629653563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

103 OLD MARLTON PIKE STE 124, Medford, NJ 08055

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Secondary Practice Locations 3

Location 13396 Miller St Ste APhiladelphia, PA 19134-5325 · Phone (888) 575-9162

Location 2510 Liberty StCamden, NJ 08104-1112 · Phone (888) 575-9162

Location 376 W Jimmie Leeds Rd Ste AGalloway, NJ 08205-9411 · Phone (856) 387-0500

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 31D2313149

Omega Physicians LLC · Medford, NJ

Active · expires Oct 24, 2026

CLIA Number31D2313149

Laboratory TypePhysician Office

Certificate Effective DateOctober 25, 2024

Certificate Expiration DateOctober 24, 2026

Laboratory DirectorNagasasikanth Mopuri

Laboratory Phone(888) 575-9162

Laboratory LocationOmega Physicians LLC103 Old Marlton Pike Suite 124, Medford, NJ 08055

CLIA data matches this NPI record on: Address Name Phone

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