Organization
SEACREST MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
1160 RAYMOND BLVD, NEWARK, NJ 07102-4168
(973) 596-3857
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NJ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NJ
2084N0400X
Neurology Physician
—
NJ
2084P0800X
Psychiatry Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004561
—
NJ
01
—
2392545000
AMERIHEALTH
NJ
01
—
6113092
BLACK LUNG
NJ
01
—
DA3466 & CK8172
RAILROAD MEDICARE
NJ
Enumeration date
04/27/2006
Last updated
07/21/2022
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