Organization Active NPI

Herbert C. Conaway, Jr., M.D., L.L.C.

  • Internal Medicine Physician
  • Delran, NJ
National Provider Identifier
1124478649
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05685500 Issued in NJ
Legal business name
HERBERT C. CONAWAY, JR., M.D., L.L.C.
Doing business as
Herb Conaway MD LLC
Practice address
26 Waters Edge Dr
Delran, NJ 08075-1898
Phone
(609) 456-0039
Fax
(888) 585-0180
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Dr. Herbert C Conaway Jr., M.D.NPI 1649387283
Title
President
Phone
(609) 234-0192

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA05685500 NJ Primary

Addresses

Primary practice location

26 Waters Edge Dr
Delran, NJ 08075-1898

Mailing address

26 Waters Edge Dr
Delran, NJ 08075-1898

Other names 1

  • Herb Conaway MD LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1124478649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WATERS EDGE DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WATERS EDGE DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751898",
            "telephone_number": "609-456-0039",
            "fax_number": "888-585-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT C. CONAWAY, JR., M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "CONAWAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-234-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05685500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herb Conaway MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.