Active NPI
James B Canavan, M.D., PH.D.
- Gastroenterology Physician
- Lawrenceville, NJ
National Provider Identifier
1205245982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 281974
- Practice address
- 3401 Princeton Pike
Lawrenceville, NJ 08648-1205 - Phone
- (617) 642-1841
- NPI assigned
- Aug 7, 2014
- Last updated
- May 23, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 281974 | NY | Primary |
Addresses
Primary practice location
3401 Princeton Pike
Lawrenceville, NJ 08648-1205
Mailing address
372 5TH Ave Apt 2B
New York, NY 10018-8107
Phone (617) 642-1841
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281974 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590192000000",
"number": "1205245982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 5TH AVE APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100188107",
"telephone_number": "617-642-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PRINCETON PIKE",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086481205",
"telephone_number": "617-642-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "JAMES",
"middle_name": "B",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2020-05-23",
"certification_date": "2020-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "281974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.