Active NPI
Michael S Entmacher, MD
- Hematology & Oncology Physician
- Mount Holly, NJ
National Provider Identifier
1053346304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MA04456
- Practice address
- 175 Madison Avenue
4TH Floor Stokes Building
Mt Holly, NJ 08060 - Phone
- (609) 702-1900
- Fax
- (609) 702-8455
- NPI assigned
- Jul 12, 2006
- Last updated
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MA04456 | NJ | Primary |
Addresses
Primary practice location
175 Madison Avenue
4TH Floor Stokes Building
Mt Holly, NJ 08060
Mailing address
175 Madison Avenue
4TH Floor Stokes Building
Mt Holly, NJ 08060
Phone (609) 702-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33716 | Other | AETNA | |
| 110046923 | Other | RAILROAD MEDICARE | |
| 4527101 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04456 | NJ | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology Oncology Associates, SJ, PA | Hematology & Oncology | Current | Accepting new patients |
Locations
175 Madison Ave
Fl 4
Mount Holly, NJ 08060
Phone (609) 702-1900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Mount Holly, NJ
- NPI 1346261179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1053346304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MADISON AVENUE",
"address_2": "4TH FLOOR STOKES BUILDING",
"city": "MT HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-702-1900",
"fax_number": "609-702-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVENUE",
"address_2": "4TH FLOOR STOKES BUILDING",
"city": "MT HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-702-1900",
"fax_number": "609-702-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTMACHER",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "MA04456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "33716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110046923",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4527101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.