Organization Active NPI

Delran Family Practice

  • Family Medicine Physician
  • Delran, NJ
National Provider Identifier
1245285196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NJ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.