# CENTRAL PHYSICIAN SERVICES, P.A.

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

## Provider details

- **NPI number:** 1881891307
- **Authorized official:** DR. DUANE J DYSON MD (PRESIDENT)
- **Authorized official phone:** (732) 212-0051

## Contact information

- **Practice address:** 300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
- **Practice address phone:** (973) 672-8400
- **Mailing address:** 66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
- **Mailing address phone:** (732) 212-0051
- **Mailing address fax:** (732) 212-0052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02040857 | NY MEDICAID | NJ |
| 01 | — | 1137829 | HORIZON NJ HEALTH | NJ |
| 05 | — | 7735405 | — | NJ |
| 01 | — | CI1325 & DB1263 | RAILROAD MEDICARE | NJ |
| 01 | — | G985557 | OXFORD | NJ |