John D Holtsclaw, M.D.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

25MA07504100

Practice address

508 Atlantic Ave
Camden, NJ 08104

Phone

(856) 338-1811

Fax

(856) 541-0719

NPI assigned

Mar 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Camden Treatment Associates LLC

  • Methadone Clinic
  • Camden, NJ
  • NPI 1093972838
  NPD
• Camden Treatment Associates, LLC

  • Methadone Clinic
  • Camden, NJ
  • NPI 1083751630
  NPD
• Emergency Physician Associates of South Jersey P C

  • Emergency Medicine Physician
  • Voorhees, NJ
  • NPI 1215965231
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1235309915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "856-338-1811",
            "fax_number": "856-541-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "856-338-1811",
            "fax_number": "856-541-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSCLAW",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": "25MA07504100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8635200",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8648204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Holliday, PA
• Qianna Holloway
• Lauren Holman
• Diann Holmes
• Kelly Montana Holmes
• Ashley L Homan, CRNP
• Olivia Shaine Homer
• Hometown RX Corporation
• Katharine R Hommes, FNP
• Samantha Honeywell

• Methadone Clinic in Camden, NJ
• Providers in Camden, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.