Active NPI
William Alfred Madison Jr., DO
- Family Medicine Physician
- Turnersville, NJ
National Provider Identifier
1255347365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB57210
- Practice address
- 188 Fries Mill Rd
N-3
Turnersville, NJ 08012-8319 - Phone
- (856) 875-8000
- Fax
- (856) 875-8494
- NPI assigned
- Jul 31, 2006
- Last updated
- Aug 5, 2013
- 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 | MB57210 | NJ | Primary |
Addresses
Primary practice location
188 Fries Mill Rd
N-3
Turnersville, NJ 08012-8319
Mailing address
188 Fries Mill Rd
N-3
Turnersville, NJ 08012-8319
Phone (856) 875-8000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB57210 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GT Urgent Care PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Family Medicine | Past | Accepting new patients |
Locations
2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AFC Doctors Express Urgent Care
- Urgent Care Clinic/Center
- Clementon, NJ
- NPI 1114327830
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1255347365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 FRIES MILL RD",
"address_2": "N-3",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080128319",
"telephone_number": "856-875-8000",
"fax_number": "856-875-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 FRIES MILL RD",
"address_2": "N-3",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080128319",
"telephone_number": "856-875-8000",
"fax_number": "856-875-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "WILLIAM",
"middle_name": "ALFRED",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB57210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.