John J Verdon Jr MD PA

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

24874 Issued in NJ

Legal business name

JOHN J VERDON JR MD PA

Practice address

535 Sycamore Ave
Rear
Shrewsbury, NJ 07702-4206

Phone

(732) 842-9468

Fax

(732) 842-0666

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Verdon Jr., MD

Title

President

Phone

(732) 842-9468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417063629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "address_2": "REAR",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024206",
            "telephone_number": "732-842-9468",
            "fax_number": "732-842-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "address_2": "REAR",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024206",
            "telephone_number": "732-842-9468",
            "fax_number": "732-842-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J VERDON JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-842-9468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "24874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Shrewsbury, NJ
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• 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.