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

Nj South Coast Medical Center Corp

Organization Family Medicine Physician · NPI 1952739690

Nj South Coast Medical Center Corp is a Family Medicine Physician in Clinton, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

37 Main St Ste 5
Clinton, NJ 08809
Phone: (609) 582-0899
Show map & directions

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

Additional practice locations (1)

  • 310 Chris Gaupp Dr, Galloway, NJ 08205-4461 — (973) 704-5644

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA09219400 (NJ)

Record details

NPI number1952739690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebere Ezeanya — Medical Director · (973) 704-5644
NPI enumeratedOctober 15, 2013
Last updated in NPPESAugust 21, 2019
Mailing address4995 Derby Ln, Bethlehem, PA 18020-9418

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