Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VILLAR (ADMINISTRATOR)
(773) 645-1192
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST, ELIZABETH, NJ 07201-2473
(551) 372-9260
Mailing address
971 US HIGHWAY 202 N STE N, BRANCHBURG, NJ 08876-3757
(551) 372-9260
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up