Organization Active NPI

Eric J. Hartman M.D. LLC

  • Ophthalmology Physician
  • Lumberton, NJ
National Provider Identifier
1356492367
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06415800 Issued in NJ
Legal business name
ERIC J. HARTMAN M.D. LLC
Practice address
200 Madison Ave
Lumberton, NJ 08048-2902
Phone
(609) 265-9363
Fax
(609) 265-9424
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Eric Jesse Hartman, M.D.NPI 1265424337
Title
President
Phone
(609) 265-9363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA06415800 NJ Primary

Addresses

Primary practice location

200 Madison Ave
Lumberton, NJ 08048-2902

Mailing address

200 Madison Ave
Lumberton, NJ 08048-2902
Phone (609) 265-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130103000274 NJ Part B Supplier - Clinic/Group Practice 5890909428 Receives reassigned benefits from 1 practitioner
Practice locations: Lumberton, NJ

National Provider Directory

National Provider Directory

Locations

200 Madison Ave
Lumberton, NJ 08048
Phone (609) 265-9363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1356492367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482902",
            "telephone_number": "609-265-9363",
            "fax_number": "609-265-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482902",
            "telephone_number": "609-265-9363",
            "fax_number": "609-265-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. HARTMAN M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-265-9363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06415800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.