Active NPI
Fred W Williams MD PC
Doing business as Fred W Williams MD
- Obstetrics & Gynecology Physician
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA04097100
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred Wayne Williams, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085027000 | Other | AMERIHEALTH | |
| 1034846 | Other | NJ | HORIZON NJ HEALTH |
| 0085027000 | Other | KEYSTONE HEALTH PLAN EAST | |
| 0394723002 | Other | CIGNA | |
| MES055 | Other | OXFORD HEALTH PLANS | |
| 2K5667 | Other | HEALTHNET | |
| 17988 | Other | AETNA | |
| 0468304 | Medicaid | NJ |
Other names 1
- Fred W Williams MD
National Provider Directory
National Provider DirectoryLocations
1450 Parkside Ave
Ste 10
Ewing, NJ 08638
Phone (609) 406-1250
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Trenton, NJ
- NPI 1679565782
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.