Individual provider Active NPI

James J Runfola, MD

  • Family Medicine Physician
  • Haddonfield, NJ
National Provider Identifier
1356347488
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06804300 Issued in NJ
Practice address
15 E Redman Ave
Haddonfield, NJ 08033-2314
Phone
(856) 428-1335
Fax
(856) 428-6334
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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 25MA06804300 NJ Primary

Addresses

Primary practice location

15 E Redman Ave
Haddonfield, NJ 08033-2314

Mailing address

15 E Redman Ave
Haddonfield, NJ 08033-2314
Phone (856) 428-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06804300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. Family Medicine PastSince Jun 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jrunfola49572@direct.cooperhealth.edu
  • Direct secure messaging: j.runfola@hfpp-nj.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1356347488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-428-1335",
            "fax_number": "856-428-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-428-1335",
            "fax_number": "856-428-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNFOLA",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06804300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.