Individual provider Active NPI

John J Haley, MD

  • Family Medicine Physician
  • New Ipswich, NH
National Provider Identifier
1356302319
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7808 Issued in NH
Practice address
821 Turnpike Rd
New Ipswich, NH 03071-3841
Phone
(603) 878-1092
Fax
(603) 924-3569
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 7808 NH Primary

Addresses

Primary practice location

821 Turnpike Rd
New Ipswich, NH 03071-3841

Mailing address

PO Box 259
New Ipswich, NH 03071-0259
Phone (603) 878-1092

Other identifiers 1

IdentifierTypeStateIssuer
30002442MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1356302319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "NEW IPSWICH",
            "state": "NH",
            "postal_code": "030710259",
            "telephone_number": "603-878-1092",
            "fax_number": "603-924-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 TURNPIKE RD",
            "city": "NEW IPSWICH",
            "state": "NH",
            "postal_code": "030713841",
            "telephone_number": "603-878-1092",
            "fax_number": "603-924-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "7808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002442",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ipswich, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.