Organization
PATIENT CARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P PECORA DO (PRACTICE OWNER)
(212) 734-6621
Entity
Organization
Contact information
Practice address
467 COOPER ST, WOODBURY, NJ 08096-2519
(609) 385-2622
(856) 520-8239
Mailing address
26 MAIN ST, EDISON, NJ 08837-3418
(212) 734-6621
(856) 520-8239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB05694000
MEDICAL LICENSE NUMBER
NJ
Enumeration date
06/04/2021
Last updated
04/21/2026
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