Patrick Joseph Flynn, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB02755500 Issued in NJ

Practice address

340 Front St
Suite 102 Hofmann Professional BLDG
Elmer, NJ 08318

Phone

(856) 358-3747

Fax

(856) 358-8907

NPI assigned

Oct 10, 2006

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patrick J Flynn Other name

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1518055243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FRONT ST",
            "address_2": "SUITE 102 HOFMANN PROFESSIONAL BLDG",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "08318",
            "telephone_number": "856-358-3747",
            "fax_number": "856-358-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FRONT ST",
            "address_2": "SUITE 102 HOFMANN PROFESSIONAL BLDG",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "08318",
            "telephone_number": "856-358-3747",
            "fax_number": "856-358-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB02755500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2320606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "FLYNN",
            "middle_name": "J",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Elmer, NJ
• Providers in Elmer, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.