Active NPI
Philip H Harrison II, LCADC
- Specialist
- Red Bank, NJ
National Provider Identifier
1205029154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37LC00139100
- Practice address
- 234 Maple Ave
Red Bank, NJ 07701-1731 - Phone
- (732) 747-1035
- Fax
- (732) 747-1069
- NPI assigned
- Aug 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37LC00139100 | NJ | Primary |
Addresses
Primary practice location
234 Maple Ave
Red Bank, NJ 07701-1731
Mailing address
234 Maple Ave
Red Bank, NJ 07701-1731
Phone (732) 747-1035
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00139100 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1205029154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011731",
"telephone_number": "732-747-1035",
"fax_number": "732-747-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011731",
"telephone_number": "732-747-1035",
"fax_number": "732-747-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "PHILIP",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "37LC00139100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.