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

Center for Preventative Medicine of New Jersey

Organization Family Medicine Physician · NPI 1083747299

Center for Preventative Medicine of New Jersey is a Family Medicine Physician 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
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