Active NPI
Delran Family Practice
- Family Medicine Physician
- Delran, NJ
National Provider Identifier
1245285196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DELRAN FAMILY PRACTICE
- Practice address
- 8008 Route 130
Suite 120
Delran, NJ 08075-1869 - Phone
- (856) 764-7997
- Fax
- (856) 764-1840
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ann Nutter
- Title
- Office Manager
- Phone
- (856) 764-7997
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8008 Route 130
Suite 120
Delran, NJ 08075-1869
Mailing address
8008 Route 130
Suite 120
Delran, NJ 08075-1869
Phone (856) 764-7997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245285196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 ROUTE 130",
"address_2": "SUITE 120",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080751869",
"telephone_number": "856-764-7997",
"fax_number": "856-764-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 ROUTE 130",
"address_2": "SUITE 120",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080751869",
"telephone_number": "856-764-7997",
"fax_number": "856-764-1840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELRAN FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NUTTER",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-764-7997"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.