Organization Active NPI

Medical Alliance of Southern New Jersey PC

  • Pulmonary Disease Physician
  • Vineland, NJ
National Provider Identifier
1578963435
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MEDICAL ALLIANCE OF SOUTHERN NEW JERSEY PC
Practice address
1206 W Sherman Ave
Building1
Vineland, NJ 08360-6911
Phone
(856) 462-6250
Fax
(856) 462-6226
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Donald C Huston Jr., D.O.
Title
President
Phone
(856) 462-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1206 W Sherman Ave
Building1
Vineland, NJ 08360-6911

Mailing address

1206 W Sherman Ave
Building1
Vineland, NJ 08360-6911
Phone (856) 462-6250

National Provider Directory

National Provider Directory

Locations

1206 W Sherman Ave
#1
Vineland, NJ 08360

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1578963435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606911",
            "telephone_number": "856-462-6250",
            "fax_number": "856-462-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606911",
            "telephone_number": "856-462-6250",
            "fax_number": "856-462-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ALLIANCE OF SOUTHERN NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-462-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.