Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prospero Medical Services New Jersey PC

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1043857436

Prospero Medical Services New Jersey PC provides Hospice and Palliative Medicine (Family Medicine) Physician services in Newark, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone: (866) 949-0108
Show map & directions

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

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X

Record details

NPI number1043857436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Mann — Credentialing Manager · (901) 422-7608
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021
Mailing address50 S B B King Blvd, Memphis, TN 38103-2626