Individual provider Active NPI

Donald Auerbach, M.D

  • Pulmonary Disease Physician
  • Marlton, NJ
National Provider Identifier
1225036866
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA02298200 Issued in NJ
Practice address
750 RT 73 South
Suite 401
Marlton, NJ 08053-4145
Phone
(856) 375-1288
Fax
(856) 375-2325
NPI assigned
Jul 8, 2005
Last updated
Apr 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA02298200 NJ Primary

Addresses

Primary practice location

750 RT 73 South
Suite 401
Marlton, NJ 08053-4145

Mailing address

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800

Other identifiers 1

IdentifierTypeStateIssuer
3896501MedicaidNJ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Pulmonary Associates, PA Pulmonary Disease Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1916 Route 70 E
Ste 1
Cherry Hill, NJ 08003
Phone (856) 424-1700

1930 Marlton Pike E
Bldg 0
Cherry Hill, NJ 08003

1930 Route 70 E
Cherry Hill, NJ 08003
Phone (609) 424-3311

Organizations & group practices 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1225036866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343526",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RT 73 SOUTH",
            "address_2": "SUITE 401",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534145",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "DONALD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA02298200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3896501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.