Individual provider Active NPI

William Alfred Madison Jr., DO

  • Family Medicine Physician
  • Turnersville, NJ
National Provider Identifier
1255347365
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB57210 Issued in NJ
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000975 NJ Practitioner - Family Practice 8729112156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB57210NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Urgent Care PC CurrentSince Nov 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Kennedy Medical Group Practice, P.C. Family Medicine PastSince Jun 15, 2021 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.

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

Verify at the official NPI Registry.