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
VILLAGE MEDICAL AT HOME OF NEW JERSEY, PC
Active
Organization
VILLAGE MEDICAL AT HOME OF NEW JERSEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FONDA SHANKS (DIRECTOR REVENUE CYCLE)
(844) 969-0686
Entity
Organization
Contact information
Practice address
4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006
(713) 461-2915
Mailing address
4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/30/2023
Last updated
01/14/2025
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