Organization Active NPI

Fred W Williams MD PC

Doing business as Fred W Williams MD

  • Obstetrics & Gynecology Physician
  • Trenton, NJ
National Provider Identifier
1346393006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04097100 Issued in NJ
Legal business name
FRED W WILLIAMS MD PC
Doing business as
Fred W Williams MD
Practice address
1450 Parkside Av
Suite 10
Trenton, NJ 08638-2950
Phone
(609) 406-1250
Fax
(609) 406-1249
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fred Wayne Williams, MDNPI 1679565782
Title
Ceo Owner
Phone
(609) 406-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA04097100 NJ Primary

Addresses

Primary practice location

1450 Parkside Av
Suite 10
Trenton, NJ 08638-2950

Mailing address

PO Box 5466
Trenton, NJ 08638-0466
Phone (609) 406-1250

Other identifiers 8

IdentifierTypeStateIssuer
0085027000OtherAMERIHEALTH
1034846OtherNJHORIZON NJ HEALTH
0085027000OtherKEYSTONE HEALTH PLAN EAST
0394723002OtherCIGNA
MES055OtherOXFORD HEALTH PLANS
2K5667OtherHEALTHNET
17988OtherAETNA
0468304MedicaidNJ

Other names 1

  • Fred W Williams MD Doing business as

National Provider Directory

National Provider Directory

Locations

1450 Parkside Ave
Ste 10
Ewing, NJ 08638
Phone (609) 406-1250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8080/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346393006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5466",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086380466",
            "telephone_number": "609-406-1250",
            "fax_number": "609-406-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AV",
            "address_2": "SUITE 10",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086382950",
            "telephone_number": "609-406-1250",
            "fax_number": "609-406-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W WILLIAMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "609-406-1250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04097100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0085027000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1034846",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0085027000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0394723002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "MES055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "17988",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred W Williams MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.