Edwin Williams, MD
Individual provider Active NPI Emergency Medicine Physician · Avalon, NJ
NPI 1497714083 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1497714083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 25MA5672000 (NJ)
- Practice address
- 2778 Dune Dr Ste 1
Avalon, NJ 08202-1980 - Phone
- (609) 368-1203
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Wake Forest University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanticare Physician Group PA
Practice addresses (Care Compare)
110 E Jimmie Leeds Rd
Galloway, NJ 08205-9479
Phone (609) 748-2100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903000351 | NJ | Practitioner - Emergency Medicine |
5294701975 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA5672000 | NJ | MD | Emergency Medicine Physician |
| MD063380L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group | Current |
Accepting new patients | |
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Atlanticare Urgent Care Physicians LLC | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Atlanticare Physician Group | Past |
Accepting new patients | |
| Einstein Practice Plan Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Past | Accepting new patients |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
2778 Dune Dr
Ste 1
Avalon, NJ 08202
Phone (609) 368-1203
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060
315 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 375-6240
110 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 408-4971
602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200
101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000
Interoperability endpoints
- ewilliams19270@directvirtua.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA5672000 | NJ | Yes |
| Emergency Medicine Physician | 207P00000X | MD063380L | PA |
Addresses
Primary practice location
2778 Dune Dr Ste 1
Avalon, NJ 08202-1980
Mailing address
2778 Dune Dr Ste 1
Avalon, NJ 08202-1980
Phone (609) 368-1203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6884105 | Medicaid | NJ | |
| 001746871 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ewilliams19270@directvirtua.org | ||
| Direct Messaging Address | ewilliams19270@directvirtua.org | ||
| Direct Messaging Address | ewilliams19270@directvirtua.org | ||
| Direct Messaging Address | ewilliams19270@directvirtua.org |
Other providers in Avalon, NJ
- Demreca LLC
- Brittani Nicole Helverson
- Lisa M Rado
- Wayne Thomas Rensimer
- William F Robinson Jr.
- Susan Wogan
All providers in Avalon, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.