Individual provider Active NPI

Joseph Arthur White, DO

  • Family Medicine Physician
  • Stratford, NJ
National Provider Identifier
1467539379
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB0066720 Issued in NJ
Practice address
215 E Laurel Rd
Ste 202
Stratford, NJ 08084-1361
Phone
(856) 783-0204
Fax
(856) 783-9606
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB0066720 NJ Primary
Family Medicine Physician 207Q00000X PA05008396L PA

Addresses

Primary practice location

215 E Laurel Rd
Ste 202
Stratford, NJ 08084-1361

Mailing address

649 South Ave
Ste 4
Secane, PA 19018-3541
Phone (856) 783-0204

Other identifiers 10

IdentifierTypeStateIssuer
0010829OtherNJAETNA
0125813000OtherNJAMERIHEALTH
0125813001OtherNJKEYSTONE AMERIHEALTH
60012486OtherNJHORIZON NJ HEALTH
P3016530OtherNJOXFORD HEALTH PLANS
0125813000OtherNJMEDICARE ADVANTAGE
439381OtherNJAMERIHEALTH, KEYSTONE, INDEPENDENCE BLUE CROSS, PENNSYLVANIA BLUE CROSS
2206604OtherNJUNITED HEALTHCARE
7488807MedicaidNJ
0125813001OtherNJMEDICARE ADVANTAGE - KEYSTONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041117000094 NJ Practitioner - Family Practice 6507820735 Practice locations: Strattford, NJ
I20190829001607 PA Practitioner - Family Practice 6507820735 Practice locations: Secane, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 E Laurel Rd
Stratford, NJ 08084-1361
Phone (856) 783-0204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB0066720NJMDFamily Medicine Physician
PA05008396LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lickfield Medical Associates Family Medicine Past Accepting new patients
Camden County Health Services Center Past Accepting new patients
Family Practice Medical Past Accepting new patients
Main Line Medical Group LTD Family Medicine PastSince Dec 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1467539379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 SOUTH AVE",
            "address_2": "STE 4",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190183541",
            "telephone_number": "856-783-0204",
            "fax_number": "856-783-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LAUREL RD",
            "address_2": "STE 202",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841361",
            "telephone_number": "856-783-0204",
            "fax_number": "856-783-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOSEPH",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB0066720",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "PA05008396L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0010829",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0125813000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE AMERIHEALTH",
            "identifier": "0125813001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60012486",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3016530",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "0125813000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, INDEPENDENCE BLUE CROSS, PENNSYLVANIA BLUE CROSS",
            "identifier": "439381",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2206604",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7488807",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE - KEYSTONE",
            "identifier": "0125813001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.