# CAREATHOME MEDICAL PRACTICE NJ

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

## Provider details

- **NPI number:** 1659974301
- **Authorized official:** DR. JAMES WOOD III MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (704) 650-3818

## Contact information

- **Practice address:** 28 VALLEY RD OFC 229, MONTCLAIR, NJ 07042-2709
- **Practice address phone:** (888) 553-2823
- **Mailing address:** 287 PARK AVE S FL 3, NEW YORK, NY 10010-4573
- **Mailing address phone:** (917) 410-7931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 09/06/2022