Organization Active NPI

Mullica Hill Anesthesia

  • Anesthesiology Physician
  • Mullica Hill, NJ
National Provider Identifier
1366097172
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MULLICA HILL ANESTHESIA
Practice address
199 Mullica Hill Rd BLDG B
Mullica Hill, NJ 08062-2655
Phone
(856) 362-8898
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Glenn Dragon, MDNPI 1275528366
Title
Authorized Official
Phone
(609) 841-3049

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

199 Mullica Hill Rd BLDG B
Mullica Hill, NJ 08062-2655

Mailing address

PO Box 1029
Mullica Hill, NJ 08062-1029
Phone (609) 841-3049

National Provider Directory

National Provider Directory

Locations

199 Mullica Hill Rd
#B
Mullica Hill, NJ 08062
Phone (856) 362-8898

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": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1366097172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621029",
            "telephone_number": "609-841-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MULLICA HILL RD BLDG B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622655",
            "telephone_number": "856-362-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLICA HILL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "DRAGON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "609-841-3049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.