Physician Management Services of New Jersey, LLC
NPI 1629348503ActiveOrganization· Family Medicine· Montville, NJ
Family Medicine in Montville, New Jersey, registered in NPPES in January 2012, part of Vaxcare Corporation. The authorized official on file is Casey Deloach, Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - centralized flu biller.
Overview
| NPI | 1629348503 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | Jan 9, 2012 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Centralized Flu Biller (TX) |
|---|
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