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

Individual provider Family Medicine Physician · NPI 1104358100

Jeet Thaker, MD is a Family Practice in Egg Harbor Township, New Jersey. Qualified in 2016, 10 years ago. Practices with Atlanticare Physician Group PA, a 503-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 English Creek Ave Ste 909
Egg Harbor Township, NJ 08234-5587
Phone: (609) 407-2380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 876-8319

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10876800 (NJ)

Record details

NPI number1104358100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Atlanticare Physician Group Pa — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Egg Harbor Township