Organization Active NPI

David F Headley MD PC

  • Internal Medicine Physician
  • Lumberton, NJ
National Provider Identifier
1366635765
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVID F HEADLEY MD PC
Practice address
737 Main St Ste 4
Tower Medical Building
Lumberton, NJ 08048-3089
Phone
(609) 267-7370
Fax
(609) 261-6715
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
David F Headley, M.D.
Title
Physician
Phone
(609) 267-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

737 Main St Ste 4
Tower Medical Building
Lumberton, NJ 08048-3089

Mailing address

737 Main St Ste 4
Tower Medical Building
Lumberton, NJ 08048-3089
Phone (609) 267-7370

National Provider Directory

National Provider Directory

Locations

737 Main St
Ste 4
Lumberton, NJ 08048
Phone (609) 267-7370

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1366635765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 MAIN ST STE 4",
            "address_2": "TOWER MEDICAL BUILDING",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080483089",
            "telephone_number": "609-267-7370",
            "fax_number": "609-261-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 MAIN ST STE 4",
            "address_2": "TOWER MEDICAL BUILDING",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080483089",
            "telephone_number": "609-267-7370",
            "fax_number": "609-261-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F HEADLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-267-7370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "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 Apr 1, 2008; 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.