Paul B Hammond, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01876600 Issued in NJ

Practice address

162 Haddon Ave
West Berlin, NJ 08091-1807

Phone

(856) 767-7766

Fax

(856) 767-6761

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386792414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911807",
            "telephone_number": "856-767-7766",
            "fax_number": "856-767-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911807",
            "telephone_number": "856-767-7766",
            "fax_number": "856-767-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "PAUL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01876600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas Fullam, DPT
• Ronald L Gerson, M.D
• Jonah Gil, PT, DPT
• Global Protection Medical (GP Medical)
• GP Medical USA LLC
• Benjamin R Harris, PT, DPT
• Ellen Elizabeth Henry
• Jan Ellen Horwitz, MSW,LCSW
• Uchenna Iwuagwu, PHARMD
• Alice M Jannini, LCSW

• General Practice Dentistry in West Berlin, NJ
• Providers in West Berlin, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.