NPIMap

Organization Active NPI

Harbor Family Practice PC

  • Family Medicine Physician
  • Stone Harbor, NJ
National Provider Identifier
1073683660
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07211700 Issued in NJ
Legal business name
HARBOR FAMILY PRACTICE PC
Practice address
376 96TH St
Stone Harbor, NJ 08247-1404
Phone
(609) 967-0070
Fax
(609) 967-0077
NPI assigned
Nov 9, 2006
Last updated
Oct 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Tara Vogdes, DONPI 1386601649
Title
Owner
Phone
(609) 967-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB07211700 NJ Primary

Addresses

Primary practice location

376 96TH St
Stone Harbor, NJ 08247-1404

Mailing address

336 96TH St
Suite 1
Stone Harbor, NJ 08247-1439
Phone (609) 967-0070

National Provider Directory

National Provider Directory

Locations

3110 Ocean Heights Ave
Egg Harbor Twp, NJ 08234
Phone (609) 927-9555

336 96th St
Stone Harbor, NJ 08247
Phone (609) 967-0070

376 96th St
Stone Harbor, NJ 08247
Phone (609) 967-0070

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1073683660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 96TH ST",
            "address_2": "SUITE 1",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471439",
            "telephone_number": "609-967-0070",
            "fax_number": "609-967-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 96TH ST",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471404",
            "telephone_number": "609-967-0070",
            "fax_number": "609-967-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "VOGDES",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-967-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07211700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.