Active NPI
Thomas Hanley, MD
- Family Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1235166133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA05103100
- Practice address
- 409 Route 70 East
Penn Family Medicine at Cherry Hill
Cherry Hill, NJ 08034 - Phone
- (856) 427-4336
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA05103100 | NJ | Primary |
Addresses
Primary practice location
409 Route 70 East
Penn Family Medicine at Cherry Hill
Cherry Hill, NJ 08034
Mailing address
409 Route 70 East
Penn Family Med at Cherry Hill
Cherry Hill, NJ 08034
Phone (856) 427-4336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912402 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050725001052 | NJ | Practitioner - Family Practice | 0941101190 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05103100 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, P.C. | Family Medicine | Current | Accepting new patients |
| Partners in Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
409 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 427-4336
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Family Medicine, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1235166133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 ROUTE 70 EAST",
"address_2": "PENN FAMILY MED AT CHERRY HILL",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-427-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 ROUTE 70 EAST",
"address_2": "PENN FAMILY MEDICINE AT CHERRY HILL",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-427-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA05103100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912402",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.