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KINGDOM PRIMARY CARE
NPI 1912663584
Internal Medicine in Camden, NJ

Active since November 09, 2021
1300 PRINCESS AVE, CAMDEN, NJ 08103(856) 272-3600 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Feb 3, 2023, Nov 9, 2021 (3 updates tracked since 2021).

About Kingdom Primary Care NPPES

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

KINGDOM PRIMARY CARE (NPI 1912663584) is a healthcare organization registered as an internal medicine in Camden, New Jersey and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Philadelphia and lists Lauren Gotay, Provider, as its authorized official.

NPPES Registry Identity

NPI1912663584
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKINGDOM PRIMARY CARE
Location Address1300 PRINCESS AVECamden, NJ 08103-2911
Mailing Address3900 City Ave Apt W904Philadelphia, PA 19131-2969
Phone(856) 272-3600
Organization SubpartNo
Authorized OfficialLauren GotayProvider · (856) 535-4100
Enumeration DateNovember 9, 2021
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1912663584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1300 PRINCESS AVE, Camden, NJ 08103
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Secondary Practice Location 1

Location 11300 N Orianna StPhiladelphia, PA 19122-4410 · Phone (267) 845-5400

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 2

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

PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
Internal Medicine (Adolescent Medicine)
1300 PRINCESS AVE
CAMDEN, NJ 08103
Camden County (856) 964-5569
KINGDOM CAREGIVERS
In Home Supportive Care
1300 PRINCESS AVE
CAMDEN, NJ 08103
Camden County (856) 843-5433

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 Kingdom Primary Care's NPI number?

The NPI number for Kingdom Primary Care is 1912663584. It was assigned to this organization in the NPPES registry on November 9, 2021.

Where is Kingdom Primary Care located?

Kingdom Primary Care is located at 1300 Princess Ave, Camden, NJ 08103. The listed phone number is (856) 272-3600.

What is Kingdom Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kingdom Primary Care was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.