Cedar Brook Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB055669 Issued in NJ

Legal business name

CEDAR BROOK FAMILY PRACTICE PC

Practice address

187 S Route 73
Suite B
Hammonton, NJ 08037-9423

Phone

(609) 567-2101

Fax

(609) 704-9351

NPI assigned

Dec 12, 2006

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Lucci

Title

Office Manager

Phone

(609) 567-2101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Michael Goudsward, D.O.

  • Family Medicine Physician
  • Hammonton, NJ
  • NPI 1114972999
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1306907886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "CEDAR BROOK",
            "state": "NJ",
            "postal_code": "080180327",
            "telephone_number": "609-567-2101",
            "fax_number": "609-704-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S ROUTE 73",
            "address_2": "SUITE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379423",
            "telephone_number": "609-567-2101",
            "fax_number": "609-704-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR BROOK FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "LUCCI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-567-2101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB055669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.