Active NPI
David Jonathan Falk, MD
- Internal Medicine Physician
- Highland Park, NJ
National Provider Identifier
1467186080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05007900
- Practice address
- 323 Lawrence Ave
Highland Park, NJ 08904-1851 - Phone
- (732) 253-7688
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05007900 | NJ | Primary |
Addresses
Primary practice location
323 Lawrence Ave
Highland Park, NJ 08904-1851
Mailing address
323 Lawrence Ave
Highland Park, NJ 08904-1851
Phone (732) 253-7688
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05007900 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1467186080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 LAWRENCE AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041851",
"telephone_number": "732-253-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 LAWRENCE AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041851",
"telephone_number": "732-253-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "DAVID",
"middle_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05007900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.