Active NPI
Junior Appolon
- Medical Physician Assistant
- Egg Harbor Township, NJ
National Provider Identifier
1396101374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 041556
- Practice address
- 214 E Kennedy Dr
Egg Harbor Township, NJ 08234-5462 - Phone
- (609) 384-2994
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 15-760 | NJ | |
| Medical Physician Assistant | 363AM0700X | 041556 | NJ | Primary |
Addresses
Primary practice location
214 E Kennedy Dr
Egg Harbor Township, NJ 08234-5462
Mailing address
214 E Kennedy Dr
Egg Harbor Township, NJ 08234-5462
Phone (609) 384-2994
Other practice location 1
40 Chapman Blvd Apt L9
Somers Point, NJ 08244-1658
Phone (609) 384-2994
Other practice location 2
214 E Kennedy Dr
Egg Harbor Township, NJ 08234-5462
Phone (609) 384-2994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-760 | NJ | MD | Surgical Assistant |
| 041556 | NJ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1396101374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E KENNEDY DR",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345462",
"telephone_number": "609-384-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E KENNEDY DR",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345462",
"telephone_number": "609-384-2994"
}
],
"practiceLocations": [
{
"address_1": "40 Chapman Blvd Apt L9",
"address_purpose": "LOCATION",
"city": "Somers Point",
"state": "NJ",
"postal_code": "082441658",
"country_code": "US",
"telephone_number": "609-384-2994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 E Kennedy Dr",
"address_purpose": "LOCATION",
"city": "Egg Harbor Township",
"state": "NJ",
"postal_code": "082345462",
"country_code": "US",
"telephone_number": "609-384-2994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APPOLON",
"first_name": "JUNIOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-07",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NJ",
"license": "15-760",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "041556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.