Joseph J Fallon Jr MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

JOSEPH J FALLON JR MD PA

Practice address

603 N Broad St
Suite 200
Woodbury, NJ 08096-1619

Phone

(856) 853-1111

Fax

(856) 853-1288

NPI assigned

Jul 22, 2006

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph James Fallon Jr., M.D.

Title

President

Phone

(856) 853-1288

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1164443206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961619",
            "telephone_number": "856-853-1111",
            "fax_number": "856-853-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961619",
            "telephone_number": "856-853-1111",
            "fax_number": "856-853-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J FALLON JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-853-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3301303",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  RAILROAD",
            "identifier": "460000828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110012275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis D Jones, MA, BCBA
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• Mariah Jones, LAC
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• Ayesha Joseph
• Kaizen Foundation, LLC
• Konstantine Skyler Karatzas, MD, LAC
• Ravneet Kaur, APN
• Stacy Kelly

• Endocrinology, Diabetes & Metabolism Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.