Michael John Byrnes, D.O.
Individual provider Active NPI Family Medicine Physician · Fort Dix, NJ
NPI 1245201102 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1245201102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS-010566-L (PA)
- Practice address
- Building 5250 New Jersey Ave.
Fort Dix, NJ 08640 - Phone
- (609) 562-5707
- Fax
- (609) 562-3153
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130611000122 | NJ | Order and Referring Only - Family Practice |
1658551015 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-010566-L | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-010566-L | PA | Yes |
Addresses
Primary practice location
Building 5250 New Jersey Ave.
Fort Dix, NJ 08640
Mailing address
221 Donna Dr
Plymouth Meeting, PA 19462-2849
Phone (610) 239-8357
Other providers in Fort Dix, NJ
- Danielle Allison
- Persival Faustino Borlongan
- Colby J Bowers
- Brenda K. Boytim
- Ronald John Burkholder
- Robert Antonio Cabanas
- Thelma Campbell
- Anthony Louis Capone
- Janet M Conway
- Joseph Nunzio Coyle
All providers in Fort Dix, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.