Organization Active NPI

William M. Hasbun M.D. & Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Collingswood, NJ
National Provider Identifier
1548511827
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25MA05605800 Issued in NJ
Legal business name
WILLIAM M. HASBUN M.D. & ASSOCIATES, P.C.
Practice address
414 Haddon Avenue
Collingswood, NJ 08054
Phone
(856) 854-7800
Fax
(856) 854-1687
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. William M HasbunNPI 1295762466
Title
Physician
Phone
(856) 854-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA05605800 NJ Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

414 Haddon Avenue
Collingswood, NJ 08054

Mailing address

5 Bloomfield Court
Mount Laurel, NJ 08054
Phone (856) 854-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130109000148 NJ Part B Supplier - Clinic/Group Practice 6002069721 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, NJ

National Provider Directory

National Provider Directory

Locations

414 Haddon Ave
Collingswood, NJ 08108
Phone (856) 577-6627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1548511827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLOOMFIELD COURT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-854-7800",
            "fax_number": "856-854-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HADDON AVENUE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-854-7800",
            "fax_number": "856-854-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. HASBUN M.D. & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HASBUN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-854-7800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA05605800",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.