Active NPI
Robert Michael Williams, MD
- Family Medicine Physician
- Barrington, NJ
National Provider Identifier
1467469171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA039291
- Practice address
- 100 Kingston Ave
Barrington, NJ 08007-1114 - Phone
- (856) 547-1177
- Fax
- (856) 547-2509
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 16, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA039291 | NJ | Primary |
Addresses
Primary practice location
100 Kingston Ave
Barrington, NJ 08007-1114
Mailing address
100 Kingston Ave
Barrington, NJ 08007-1114
Phone (856) 547-1177
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00015887 | Other | NJ | RAILROAD MEDICARE |
| 001590994 | Other | NJ | HIGHMARK BS |
| 10459 | Other | NJ | AETNA |
| 000166396 | Other | NJ | HIGHMARK BS |
| 0086142000 | Other | NJ | KEYSTONE HMO |
| 2269011001 | Other | NJ | AMERIHEALTH HMO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA039291 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1467469171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGSTON AVE",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071114",
"telephone_number": "856-547-1177",
"fax_number": "856-547-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGSTON AVE",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071114",
"telephone_number": "856-547-1177",
"fax_number": "856-547-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA039291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00015887",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "001590994",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "10459",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "000166396",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HMO",
"identifier": "0086142000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "2269011001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barrington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.