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

Great Health Medical New Jersey PC

Organization Family Medicine Physician · NPI 1417681008

Great Health Medical New Jersey PC provides Family Medicine Physician services in Lakewood, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Chase Ave Ste 105
Lakewood, NJ 08701-4761
Phone: (212) 201-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417681008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wertzberger — President · (248) 514-9356
NPI enumeratedJuly 11, 2022
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address101 Chase Ave Ste 105, Lakewood, NJ 08701-4761

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