Organization Active NPI

Rafael J Hasbun MD PC

  • Internal Medicine Physician
  • Mount Laurel, NJ
National Provider Identifier
1568763464
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05467700 Issued in NJ
Legal business name
RAFAEL J HASBUN MD PC
Practice address
813 E Gate Dr
Suite B
Mount Laurel, NJ 08054-1238
Phone
(856) 608-0500
Fax
(856) 608-0501
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Rafael J Hasbun, M.D.
Title
President
Phone
(856) 608-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA05467700 NJ Primary

Addresses

Primary practice location

813 E Gate Dr
Suite B
Mount Laurel, NJ 08054-1238

Mailing address

813 E Gate Dr
Suite B
Mount Laurel, NJ 08054-1238
Phone (856) 608-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1568763464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E GATE DR",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541238",
            "telephone_number": "856-608-0500",
            "fax_number": "856-608-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E GATE DR",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541238",
            "telephone_number": "856-608-0500",
            "fax_number": "856-608-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL J HASBUN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "HASBUN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-608-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05467700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.