Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jersey Shore Internal Medicine and Family Practice Associates PC

Organization Family Medicine Physician · NPI 1164488003

Jersey Shore Internal Medicine and Family Practice Associates PC provides Family Medicine Physician services in Eatontown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
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

2-12 Corbett Way Ste 102
Eatontown, NJ 07724-4251 Not confirmed with CMS for 13 years — call before visiting
Phone: (732) 263-7965
Fax: (732) 263-7962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NJ)
Family Medicine Physician Taxonomy 207Q00000X (NJ)

Record details

NPI number1164488003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Marchetti — Director · (732) 643-4312
NPI enumeratedApril 20, 2006
Last updated in NPPESMarch 25, 2013
Mailing address2-12 Corbett Way, Ste. 102, Eatontown, NJ 07724-4251

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