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GLENDORA FAMILY PRACTICE LLC
NPI 1750336392
Family Medicine in Glendora, NJ

Active since May 23, 2006
1300 BLACK HORSE PIKE, GLENDORA, NJ 08029(856) 939-2828(856) 939-5057 Get Directions Write a Review

NPPES record last updated: January 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glendora Family Practice Llc NPPES

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

GLENDORA FAMILY PRACTICE LLC (NPI 1750336392) is a healthcare organization registered as a family medicine in Glendora, New Jersey and active in the NPI registry since May 2006. The organization lists Benjamin Ira Blank, President, as its authorized official.

NPPES Registry Identity

NPI1750336392
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLENDORA FAMILY PRACTICE LLC
Location Address1300 BLACK HORSE PIKEGlendora, NJ 08029-1308
Mailing Address1300 Black Horse PikeGlendora, NJ 08029-1308 · (856) 939-2828 · Fax (856) 939-5057
Phone(856) 939-2828
Fax(856) 939-5057
Organization SubpartNo
Authorized OfficialBenjamin Ira BlankPresident · (856) 939-2828
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 2, 2009
✔ NPI 1750336392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB06092600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 BLACK HORSE PIKE, Glendora, NJ 08029
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Other Identifiers 1

Medicare ID-Type Unspecified870901NJ · Provider Number

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 6

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

MRS. VICTORIA LEE ROCCIA NP
Nurse Practitioner (Family)
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-2828
DR. JOHN CLARK DC
Chiropractor
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-8889
MS. KELLY L SHARKEY NP-C
Nurse Practitioner (Family)
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-2828
ADVOCARE, LLC
Family Medicine
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-2828
DR. BENJAMIN IRA BLANK D.O.
Family Medicine
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-2828
BETH R. BERGMAN MSN, RN, APN-C
Nurse Practitioner (Family)
1300 BLACK HORSE PIKE
GLENDORA, NJ 08029
Camden County (856) 939-2828

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 Glendora Family Practice LLC's NPI number?

The NPI number for Glendora Family Practice LLC is 1750336392. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Glendora Family Practice LLC located?

Glendora Family Practice LLC is located at 1300 Black Horse Pike, Glendora, NJ 08029. The listed phone number is (856) 939-2828.

What is Glendora Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glendora Family Practice LLC was last updated on January 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.