# SIGNIFY HEALTH MEDICAL ASSOCIATES OF NEW JERSEY, LLC

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

## Provider details

- **NPI number:** 1174187728
- **Authorized official:** ROBERT SHAWN BRONKE (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (694) 909-6446

## Contact information

- **Practice address:** 116 VILLAGE BLVD STE 200, PRINCETON, NJ 08540-5700
- **Practice address phone:** (877) 868-5351
- **Mailing address:** 4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
- **Mailing address phone:** (972) 715-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 08/28/2026