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 is a Hospice and Palliative Medicine (Family Medicine) Physician 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