OrganizationActive
Phoenix Housecall Associates of South Jersey
NPI 1417393943 · Adult Medicine Physician · Mount Laurel, NJ
Provider details
- NPI number
- 1417393943
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Lee, Owner(856) 439-0060
- License
- 25MA07756900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4510 Church Rd
Mount Laurel, NJ 08054-2210
Phone: (856) 439-0060
Fax: (856) 452-0344
Street-level locationGet directions
Mailing address
4510 Church Rd
Mount Laurel, NJ 08054-2210
Registry dates
- Enumerated
- 2013-05-10
- Last updated
- 2014-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.