Individual provider Active NPI

Donald Carl Huston Jr., D.O.

  • Pulmonary Disease Physician
  • Glassboro, NJ
National Provider Identifier
1316973563
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MB47363 Issued in NJ
Practice address
1120 Delsea Dr N FL 2
Glassboro, NJ 08028-1444
Phone
(856) 595-9136
Fax
(856) 575-5097
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MB47363 NJ Primary

Addresses

Primary practice location

1120 Delsea Dr N FL 2
Glassboro, NJ 08028-1444

Mailing address

1120 Delsea Dr N FL 2
Glassboro, NJ 08028-1444
Phone (856) 595-9136

Other practice location 1

1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916
Phone (856) 691-8444

Other identifiers 1

IdentifierTypeStateIssuer
1217003MedicaidNJ

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
I20060117000709 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4981655735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB47363NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Health Connections PC CurrentSince Apr 1, 2020 Accepting new patients
Tri-County Health Connections PC PastSince Aug 17, 2025 Accepting new patients
Gardens Operator LLC Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Vineland Operating, LLC Past Accepting new patients
54 Sharp Street Operations LLC Past Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028

1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1316973563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N FL 2",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-595-9136",
            "fax_number": "856-575-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N FL 2",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-595-9136",
            "fax_number": "856-575-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W Sherman Ave",
            "address_2": "Building 1",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606916",
            "country_code": "US",
            "telephone_number": "856-691-8444",
            "fax_number": "856-691-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "DONALD",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MB47363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.