Organization
ERICKSON HEALTH MEDICAL GROUP OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J. NARRETT M.D. (PRESIDENT)
(410) 402-2257
Entity
Organization
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2631
(732) 643-2070
(732) 643-2015
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(732) 643-2070
(732) 643-2015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021873
—
NJ
01
—
3746889000
MAGELLAN
NJ
Enumeration date
07/20/2006
Last updated
08/10/2023
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