Organization Active NPI

Carlos a Obregon, D.O.,P.C.

  • Pulmonary Disease Physician
  • Sewell, NJ
National Provider Identifier
1225085087
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CARLOS A OBREGON, D.O.,P.C.
Practice address
100A Kings Way W
Sewell, NJ 08080-2235
Phone
(856) 218-8080
Fax
(856) 218-8070
NPI assigned
May 27, 2006
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Carlos A Obregon, D.O.NPI 1093785487
Title
Owner
Phone
(856) 218-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

100A Kings Way W
Sewell, NJ 08080-2235

Mailing address

100A Kings Way W
Sewell, NJ 08080-2235
Phone (856) 218-8080

Other identifiers 1

IdentifierTypeStateIssuer
8499608MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000919 NJ Part B Supplier - Clinic/Group Practice 4183650781 Receives reassigned benefits from 2 practitioners
Practice locations: Sewell, NJ

National Provider Directory

National Provider Directory

Locations

100 Kings Way W
#A
Sewell, NJ 08080
Phone (856) 218-8080

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1225085087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100A KINGS WAY W",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802235",
            "telephone_number": "856-218-8080",
            "fax_number": "856-218-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A KINGS WAY W",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802235",
            "telephone_number": "856-218-8080",
            "fax_number": "856-218-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A OBREGON, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "OBREGON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-218-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8499608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.