Organization Active NPI

NJR Healthcare, P.C.

  • General Practice Physician
  • Egg Harbor TWP, NJ
National Provider Identifier
1477640159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA07168 Issued in NJ
Legal business name
NJR HEALTHCARE, P.C.
Doing business as
DR. ALAN H. FAUSTINO
Practice address
406 Rockbridge CT
Egg Harbor TWP, NJ 08234-6013
Phone
(800) 374-2960
Fax
(609) 927-9121
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan Herbert Faustino, M.D.
Title
President/Owner
Phone
(800) 374-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MA07168 NJ Primary

Addresses

Primary practice location

406 Rockbridge CT
Egg Harbor TWP, NJ 08234-6013

Mailing address

406 Rockbridge CT
Egg Harbor TWP, NJ 08234-6013
Phone (800) 374-2960

Other identifiers 1

IdentifierTypeStateIssuer
0111031MedicaidNJ

Other names 1

  • DR. ALAN H. FAUSTINO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477640159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ROCKBRIDGE CT",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082346013",
            "telephone_number": "800-374-2960",
            "fax_number": "609-927-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ROCKBRIDGE CT",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082346013",
            "telephone_number": "800-374-2960",
            "fax_number": "609-927-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJR HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUSTINO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "800-374-2960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA07168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111031",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. ALAN H. FAUSTINO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • 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.