Individual provider Active NPI

Paul Daniel Hierholzer, DO

  • Internal Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1467415851
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB059402 Issued in NJ
Practice address
750 Shore Rd
Somers Point, NJ 08244-2363
Phone
(609) 653-2101
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB059402 NJ Primary

Addresses

Primary practice location

750 Shore Rd
Somers Point, NJ 08244-2363

Mailing address

2778 Dune Dr
Avalon, NJ 08202-1978
Phone (609) 967-4070

Other practice location 1

2778 Dune Dr
Avalon, NJ 08202-1978
Phone (609) 967-4070

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001293 NJ Practitioner - Internal Medicine 4688868748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Aug 1, 2019 Accepting new patients
Atlanticare Physician Group CurrentSince Aug 1, 2019 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

301 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-9797

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1613 Route 47 S
Unit F
Rio Grande, NJ 08242
Phone (609) 886-5245

443 Shore Rd
Somers Point, NJ 08244
Phone (609) 569-7830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1467415851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 DUNE DR",
            "city": "AVALON",
            "state": "NJ",
            "postal_code": "082021978",
            "telephone_number": "609-967-4070",
            "fax_number": "609-967-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442363",
            "telephone_number": "609-653-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2778 Dune Dr",
            "address_purpose": "LOCATION",
            "city": "Avalon",
            "state": "NJ",
            "postal_code": "082021978",
            "country_code": "US",
            "telephone_number": "609-967-4070",
            "fax_number": "609-967-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIERHOLZER",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB059402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.