Individual provider Active NPI

Gerald D Hayken, MD

  • Orthopaedic Surgery Physician
  • Mount Laurel, NJ
National Provider Identifier
1164498010
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA03849900 Issued in NJ
Practice address
204 Ark Rd
Suite 105
Mount Laurel, NJ 08054
Phone
(856) 235-7080
Fax
(856) 273-0402
NPI assigned
Feb 28, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA03849900 NJ Primary

Addresses

Primary practice location

204 Ark Rd
Suite 105
Mount Laurel, NJ 08054

Mailing address

204 Ark Rd
Suite 105
Mount Laurel, NJ 08054
Phone (856) 235-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000563 NJ Practitioner - Orthopedic Surgery 2062404833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington County Orthopaedic Specialists PA Orthopaedic Surgery CurrentSince Jul 6, 1990 Accepting new patients

Locations

204 Ark Rd
Ste 105
Mount Laurel, NJ 08054
Phone (856) 235-7080

2059 Briggs Rd
Ste 304
Mount Laurel, NJ 08054
Phone (609) 379-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1164498010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK RD",
            "address_2": "SUITE 105",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-235-7080",
            "fax_number": "856-273-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD",
            "address_2": "SUITE 105",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-235-7080",
            "fax_number": "856-273-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYKEN",
        "first_name": "GERALD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03849900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.