Center for Preventative Medicine of New Jersey
NPI 1083747299 · Internal Medicine Physician · South Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center for Preventative Medicine of New Jersey is a Internal Medicine Physician organization in South Orange, NJ (NPI 1083747299).
Provider details
- NPI number
- 1083747299
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Holder, Owner(973) 762-6077
- License
- 25MA04662500 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2013-04-16
Frequently asked questions
- What is Center for Preventative Medicine of New Jersey's NPI number?
- Center for Preventative Medicine of New Jersey's National Provider Identifier (NPI) is 1083747299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Preventative Medicine of New Jersey?
- Center for Preventative Medicine of New Jersey is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Preventative Medicine of New Jersey located?
- Center for Preventative Medicine of New Jersey's practice location on file with NPPES is 5 Stanley Rd, South Orange, NJ 07079-2721.
- What is Center for Preventative Medicine of New Jersey's phone number?
- The practice phone number listed in the NPPES registry for Center for Preventative Medicine of New Jersey is (973) 762-6077.
- Does Center for Preventative Medicine of New Jersey accept Medicare?
- Center for Preventative Medicine of New Jersey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Center for Preventative Medicine of New Jersey?
- The authorized official listed on Center for Preventative Medicine of New Jersey's NPPES record is Kevin Holder, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Preventative Medicine of New Jersey's NPI active?
- Yes — Center for Preventative Medicine of New Jersey's NPI (1083747299) is active in the NPPES registry as of the last update on 2013-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.