Organization Active NPI

Harris D Slavick MD PA

  • Urology Physician
  • Vineland, NJ
National Provider Identifier
1396048492
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA28690 Issued in NJ
Legal business name
HARRIS D SLAVICK MD PA
Practice address
1317 S Main Rd Ste 2a
Vineland, NJ 08360-6511
Phone
(856) 691-2225
Fax
(856) 696-6992
NPI assigned
Dec 10, 2010
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Harris D Slavick, MDNPI 1699872234
Title
President
Phone
(856) 691-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MA28690 NJ Primary

Addresses

Primary practice location

1317 S Main Rd Ste 2a
Vineland, NJ 08360-6511

Mailing address

1317 S Main Rd Ste 2a
Vineland, NJ 08360-6511
Phone (856) 691-2225

Other identifiers 1

IdentifierTypeStateIssuer
2825708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1317 S Main Rd
Ste 2A
Vineland, NJ 08360
Phone (856) 691-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1396048492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 S MAIN RD STE 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606511",
            "telephone_number": "856-691-2225",
            "fax_number": "856-696-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 S MAIN RD STE 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606511",
            "telephone_number": "856-691-2225",
            "fax_number": "856-696-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS D SLAVICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SLAVICK",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-691-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA28690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2825708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.