Individual provider Active NPI

Hafedh Akrout, MD

  • Physical Medicine & Rehabilitation Physician
  • Pennsville, NJ
National Provider Identifier
1194735860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA04169700 Issued in NJ
Practice address
270 South Broadway
Pennsville, NJ 08070-2724
Phone
(856) 678-5449
Fax
(856) 678-3153
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA04169700 NJ Primary

Addresses

Primary practice location

270 South Broadway
Pennsville, NJ 08070-2724

Mailing address

270 South Broadway
PO Box 35
Pennsville, NJ 08070-2724
Phone (856) 678-5449

Other identifiers 1

IdentifierTypeStateIssuer
2304222OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04169700NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shields and Shields PC PastSince Aug 9, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194735860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SOUTH BROADWAY",
            "address_2": "PO BOX 35",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702724",
            "telephone_number": "856-678-5449",
            "fax_number": "856-678-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SOUTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702724",
            "telephone_number": "856-678-5449",
            "fax_number": "856-678-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKROUT",
        "first_name": "HAFEDH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA04169700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2304222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.