Organization Active NPI

Centerton Family Practice, LLC

  • Family Medicine Physician
  • Elmer, NJ
National Provider Identifier
1053425686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTERTON FAMILY PRACTICE, LLC
Practice address
798 Centerton Road
Elmer, NJ 08318-0890
Phone
(856) 358-6161
Fax
(856) 358-0142
NPI assigned
Aug 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher R Altamuro, D.O.
Title
Physician/Owner
Phone
(856) 358-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

798 Centerton Road
Elmer, NJ 08318-0890

Mailing address

PO Box 890
Elmer, NJ 08318-0890
Phone (856) 358-6161

Other identifiers 1

IdentifierTypeStateIssuer
3318907MedicaidNJ

National Provider Directory

National Provider Directory

Locations

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053425686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083180890",
            "telephone_number": "856-358-6161",
            "fax_number": "856-358-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CENTERTON ROAD",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083180890",
            "telephone_number": "856-358-6161",
            "fax_number": "856-358-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERTON FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTAMURO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "856-358-6161",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3318907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmer, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.