OrganizationCoventry Family Practice AssocFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address755 Memorial Pkwy, Phillipsburg, NJ 08865-2748(908) 454-6303PECOS EnrollmentBased on the most recent information from CMS, provider Coventry Family Practice Assoc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1578534475Provider TypeOrganizationFull NameCoventry Family Practice AssocSubpartNoEnumeration Date1/30/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address755 Memorial Pkwy, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Mailing LocationMailing Address755 Memorial Pkwy, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Authorized OfficialNameBuch, Raymond S (Director)Phone(908) 454-6303Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID3134008DescriptionMedicaidIssuerUnlistedNew Jersey