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MAINBRIDGE MEDICAL
NPI 1972553642
Family Medicine in Willingboro, NJ

Active since May 11, 2006
1 MAINBRIDGE LN, WILLINGBORO, NJ 08046(609) 877-0646(609) 877-0370 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mainbridge Medical NPPES

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

MAINBRIDGE MEDICAL (NPI 1972553642) is a healthcare organization registered as a family medicine in Willingboro, New Jersey and active in the NPI registry since May 2006. The organization lists Leonard S Katz, Owner, as its authorized official.

NPPES Registry Identity

NPI1972553642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAINBRIDGE MEDICAL
Location Address1 MAINBRIDGE LNWillingboro, NJ 08046-2103
Mailing AddressPo Box 8627Cherry Hill, NJ 08002-0627 · (856) 755-1616 · Fax (856) 755-0098
Phone(609) 877-0646
Fax(609) 877-0370
Organization SubpartNo
Authorized OfficialLeonard S KatzOwner · (609) 877-0644
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972553642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1 MAINBRIDGE LN, Willingboro, NJ 08046
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Other Identifiers 5

Other10169Aetna Hmo
Other5868520Aetna Ppo
Other0471676001NJ · Amerihealth Hmo/ppo
Medicaid8159009NJ
Other019423NJ · Amerihealth Administrator

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

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

DR. WALTER M COMISKEY DO
Internal Medicine
1 MAINBRIDGE LN
WILLINGBORO, NJ 08046
Burlington County (609) 877-0644

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 Mainbridge Medical's NPI number?

The NPI number for Mainbridge Medical is 1972553642. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Mainbridge Medical located?

Mainbridge Medical is located at 1 Mainbridge Ln, Willingboro, NJ 08046. The listed phone number is (609) 877-0646.

What is Mainbridge Medical'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 Mainbridge Medical was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.