NPIMap

Individual provider Active NPI

David Gabriel Aderholdt, D.O.

  • Family Medicine Physician
  • Millville, NJ
National Provider Identifier
1487081030
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09760300 Issued in NJ
Practice address
3 Elizabeth St
Millville, NJ 08332-2509
Phone
(856) 641-6272
NPI assigned
Sep 27, 2013
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09760300 NJ Primary

Addresses

Primary practice location

3 Elizabeth St
Millville, NJ 08332-2509

Mailing address

3 Elizabeth St
Millville, NJ 08332-2509
Phone (856) 641-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610000828 NJ Practitioner - Family Practice 1850681453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

2148 N 2ND St
Suite a
Millville, NJ 08332-1304
Phone (856) 641-6272

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09760300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Urgent Care PC CurrentSince Jul 1, 2016 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jul 1, 2016 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

2148 N 2nd St
Ste A
Millville, NJ 08332
Phone (856) 641-6022

3 Elizabeth St
Millville, NJ 08332
Phone (856) 327-4580

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 3

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

Hospital & facility affiliations 9

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1487081030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELIZABETH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322509",
            "telephone_number": "856-641-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ELIZABETH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322509",
            "telephone_number": "856-641-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERHOLDT",
        "first_name": "DAVID",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09760300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.