Active NPI
Phyu P Vallejo, M.D.
- Psychiatry Physician
- Hammonton, NJ
National Provider Identifier
1295802247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA06752800
- Practice address
- 301 Spring Garden Rd
Hammonton, NJ 08037-2516 - Phone
- (609) 561-1700
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06752800 | NJ | Primary |
Addresses
Primary practice location
301 Spring Garden Rd
Hammonton, NJ 08037-2516
Mailing address
202 Barbara LN
Franklinville, NJ 08322-3855
Phone (856) 875-7399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066521C2B | Other | NJ | MEDICARE BILLING NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06752800 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1295802247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 BARBARA LN",
"city": "FRANKLINVILLE",
"state": "NJ",
"postal_code": "083223855",
"telephone_number": "856-875-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SPRING GARDEN RD",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372516",
"telephone_number": "609-561-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "PHYU",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06752800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BILLING NO",
"identifier": "066521C2B",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.