Transformations Physicians Weight Management LLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

MA067366 Issued in NJ

Legal business name

TRANSFORMATIONS PHYSICIANS WEIGHT MANAGEMENT LLC

Practice address

719 Highway 206
Suite 101
Hillsborough, NJ 08844-1536

Phone

(908) 281-6771

Fax

(908) 281-6439

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Ann Hickey, M.D.

Title

Medical Director

Phone

(908) 281-6771

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathleen Hickey, M.D. Other name

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1205153251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 HIGHWAY 206",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441536",
            "telephone_number": "908-281-6771",
            "fax_number": "908-281-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 HIGHWAY 206",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441536",
            "telephone_number": "908-281-6771",
            "fax_number": "908-281-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS PHYSICIANS WEIGHT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-281-6771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "MA067366",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN09992000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, TYPE UNSPECIFIED",
            "identifier": "016208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Hickey, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Obesity Medicine (Family Medicine) Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Obesity Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.