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THE ESTAUGH T/A MEDFORD LEAS
NPI 1659309524
Family Medicine - Geriatric Medicine in Medford, NJ

Active since June 29, 2006
1 MEDFORD LEAS, MEDFORD, NJ 08055(609) 654-3005(609) 654-7894 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2022, May 12, 2021, Nov 14, 2016 (3 updates tracked since 2016).

About The Estaugh T/a Medford Leas NPPES

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

THE ESTAUGH T/A MEDFORD LEAS (NPI 1659309524) is a healthcare organization registered as a geriatric medicine in Medford, New Jersey and active in the NPI registry since June 2006. The organization lists Jeremy M Vickers, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1659309524
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameTHE ESTAUGH T/A MEDFORD LEAS
Location Address1 MEDFORD LEASMedford, NJ 08055-2254
Mailing Address1 Medford LeasMedford, NJ 08055-2254 · (609) 654-3005 · Fax (609) 654-7894
Phone(609) 654-3005
Fax(609) 654-7894
Organization SubpartNo
Authorized OfficialJeremy M VickersChief Executive Officer · (609) 654-3009
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1659309524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1 MEDFORD LEAS, Medford, NJ 08055
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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 15

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

MISS JANET H. RUMBLE RN, NPC
Nurse Practitioner (Adult Health)
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-6427
MRS. JEAN MARIE ROLAND PT
Physical Therapist
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-3069
MRS. DONNA M SHERMAN P.T.
Physical Therapist
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-3069
MRS. KRISTEN EDITH PERKOWSKI MPT
Physical Therapist
1 MEDFORD LEAS, PHYSICAL THERAPY DEPT.
MEDFORD, NJ 08055
Burlington County (609) 654-3069
THERESA A WIDMANN R.PH.
Pharmacist
1 MEDFORD LEAS, PHARMACY
MEDFORD, NJ 08055
Burlington County (609) 654-3269
TAMMY LYNN BECKETT
Occupational Therapist
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-3069
JOANNE SALOWE RPH
Pharmacist
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-3000
MRS. LISA A HARTMAN R.D
Dietitian, Registered
1 MEDFORD LEAS
MEDFORD, NJ 08055
Burlington County (609) 654-3399

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 The Estaugh T/A Medford Leas's NPI number?

The NPI number for The Estaugh T/A Medford Leas is 1659309524. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is The Estaugh T/A Medford Leas located?

The Estaugh T/A Medford Leas is located at 1 Medford Leas, Medford, NJ 08055. The listed phone number is (609) 654-3005.

What is The Estaugh T/A Medford Leas's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for The Estaugh T/A Medford Leas was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.