Individual provider Active NPI

Charles Lawrence King, MD

  • Family Medicine Physician
  • Frenchtown, NJ
National Provider Identifier
1326115866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA02618300 Issued in NJ
Practice address
20 Bridge Street
Frenchtown, NJ 08825-1227
Phone
(908) 996-4003
Fax
(908) 996-3563
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA02618300 NJ Primary

Addresses

Primary practice location

20 Bridge Street
Frenchtown, NJ 08825-1227

Mailing address

20 Bridge Street
Frenchtown, NJ 08825-1227
Phone (908) 996-4003

Other identifiers 1

IdentifierTypeStateIssuer
3725006MedicaidNJ

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
I20140910001260 NJ Order and Referring Only - Family PracticePractitioner - Family Practice 0042403966

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326115866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRIDGE STREET",
            "city": "FRENCHTOWN",
            "state": "NJ",
            "postal_code": "088251227",
            "telephone_number": "908-996-4003",
            "fax_number": "908-996-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDGE STREET",
            "city": "FRENCHTOWN",
            "state": "NJ",
            "postal_code": "088251227",
            "telephone_number": "908-996-4003",
            "fax_number": "908-996-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02618300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchtown, NJ

Sources for this page

Verify at the official NPI Registry.