NPIMap

Organization Active NPI

Merchantville Medical

  • Family Medicine Physician
  • Merchantville, NJ
National Provider Identifier
1376693838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA32746 Issued in NJ
Legal business name
MERCHANTVILLE MEDICAL
Practice address
5 W Chestnut Ave
Merchantville, NJ 08109-2305
Phone
(856) 665-9424
Fax
(856) 665-9426
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Abbas Husain, MDNPI 1164449641
Title
Physician
Phone
(856) 665-9424

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA32746 NJ Primary

Addresses

Primary practice location

5 W Chestnut Ave
Merchantville, NJ 08109-2305

Mailing address

5 W Chestnut Ave
Merchantville, NJ 08109-2305
Phone (856) 665-9424

National Provider Directory

National Provider Directory

Locations

5 W Chestnut Ave
Merchantville, NJ 08109
Phone (856) 665-9424

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376693838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W CHESTNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092305",
            "telephone_number": "856-665-9424",
            "fax_number": "856-665-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CHESTNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092305",
            "telephone_number": "856-665-9424",
            "fax_number": "856-665-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCHANTVILLE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-665-9424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA32746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.