# PROGRESSIVE CARE MEDICAL GROUP OF NJ, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124532270
- **Authorized official:** DR. DEEPAK RAMESHCHANDRA PATEL MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (845) 339-5100

## Contact information

- **Practice address:** 29 ORIOLE WAY, MOORESTOWN, NJ 08057-1335
- **Practice address phone:** (800) 860-3274
- **Practice address fax:** (888) 910-1059
- **Mailing address:** PO BOX 1040, SYOSSET, NY 11791-0010
- **Mailing address phone:** (800) 860-3274
- **Mailing address fax:** (888) 910-1059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 09/25/2026