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NJ SOUTH COAST MEDICAL CENTER CORP
NPI 1952739690
Family Medicine in Clinton, NJ

Active since October 15, 2013
37 MAIN ST STE 5, CLINTON, NJ 08809(609) 582-0899 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nj South Coast Medical Center Corp NPPES

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

NJ SOUTH COAST MEDICAL CENTER CORP (NPI 1952739690) is a healthcare organization registered as a family medicine in Clinton, New Jersey and active in the NPI registry since October 2013. The organization maintains a secondary practice location in Galloway and lists Ebere Ezeanya, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1952739690
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNJ SOUTH COAST MEDICAL CENTER CORP
Location Address37 MAIN ST STE 5Clinton, NJ 08809
Mailing Address4995 Derby LnBethlehem, PA 18020-9418 · (973) 704-5644
Phone(609) 582-0899
Organization SubpartNo
Authorized OfficialEbere EzeanyaMedical Director · (973) 704-5644
Enumeration DateOctober 15, 2013
Last NPPES UpdateAugust 21, 2019
✔ NPI 1952739690 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 · 25MA09219400
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.
37 MAIN ST STE 5, Clinton, NJ 08809
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Secondary Practice Location 1

Location 1310 Chris Gaupp Dr, suite 100AGalloway, NJ 08205-4461 · Phone (973) 704-5644

Other Identifiers 1

Medicaid0357367NJ

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj South Coast Medical Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nj South Coast Medical Center Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ebere Ezeanya, M.D.
Family Practice
NPI 1053547919
445 MARSHALL ST
Phillipsburg, NJ 08865
(609) 582-0899
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nj South Coast Medical Center Corp's NPI number?

The NPI number for Nj South Coast Medical Center Corp is 1952739690. It was assigned to this organization in the NPPES registry on October 15, 2013.

Where is Nj South Coast Medical Center Corp located?

Nj South Coast Medical Center Corp is located at 37 Main St Ste 5, Clinton, NJ 08809. The listed phone number is (609) 582-0899.

What is Nj South Coast Medical Center Corp's specialty?

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

Is Nj South Coast Medical Center Corp enrolled in Medicare?

Yes. Nj South Coast Medical Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nj South Coast Medical Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nj South Coast Medical Center Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nj South Coast Medical Center Corp was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.