Individual provider Active NPI

Donald Krachman, DO

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1265507214
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02889900 Issued in NJ
Practice address
777 S White Horse Pike Ste D1
Hammonton, NJ 08037-2029
Phone
(609) 561-0033
Fax
(609) 561-2748
NPI assigned
Nov 22, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 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 25MB02889900 NJ Primary

Addresses

Primary practice location

777 S White Horse Pike Ste D1
Hammonton, NJ 08037-2029

Mailing address

777 S White Horse Pike Ste D1
Hammonton, NJ 08037-2029
Phone (609) 561-0033

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
I20040702000740 NJ Practitioner - Family PracticePractitioner - General Practice 1850378241 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waters Medical House Calls CurrentSince May 1, 2015 Accepting new patients
Kennedy University Hospital, Inc. Family Medicine CurrentSince Jul 13, 2013 Accepting new patients
Kennedy University Hospital Inc CurrentSince Jul 13, 2013 Accepting new patients
Rowansom Dept of Pediatrics Past Accepting new patients
Weiss Foot and Ankle Center PastSince Oct 27, 2003 Accepting new patients

Organizations & group practices 5

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1265507214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE STE D1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-0033",
            "fax_number": "609-561-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE STE D1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-0033",
            "fax_number": "609-561-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACHMAN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02889900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.