Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Center for Preventative Medicine of New Jersey

Organization Family Medicine Physician · NPI 1083747299

Center for Preventative Medicine of New Jersey provides Family Medicine Physician services in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2

Practice location Address checks out

5 Stanley Rd
South Orange, NJ 07079-2721 Not confirmed with CMS for 13 years — call before visiting
Phone: (973) 762-6077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA04002500 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA04662500 (NJ)

Record details

NPI number1083747299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Holder — Owner · (973) 762-6077
NPI enumeratedMarch 14, 2007
Last updated in NPPESApril 16, 2013
Mailing address5 Stanley Rd, South Orange, NJ 07079-2721

Other providers in South Orange