Beckett Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BECKETT FAMILY PRACTICE

Practice address

545 Beckett Rd.
Suite 806
Logan TWP., NJ 08085

Phone

(856) 467-2556

Fax

(856) 467-3816

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lois A Laganella

Title

Office Manager

Phone

(856) 467-2556

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Dalsey, D.O

  • Family Medicine Physician
  • Swedesboro, NJ
  • NPI 1518997980

  Family Medicine

  NPD (past)
• Azieb G Lofton, DO

  • Obstetrics & Gynecology Physician
  • West Deptford, NJ
  • NPI 1144229303
  NPD (past)
• Jan P Long, MSN ANP-C

  • Primary Care Nurse Practitioner
  • Logan Township, NJ
  • NPI 1174696462
  NPD (past)
• Ann Carder Miller, D.O.

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1891726592

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1609807288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD.",
            "address_2": "SUITE 806",
            "city": "LOGAN TWP.",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-2556",
            "fax_number": "856-467-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD.",
            "address_2": "SUITE 806",
            "city": "LOGAN TWP.",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-2556",
            "fax_number": "856-467-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKETT FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "LAGANELLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-467-2556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072472002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "47135",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3340902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allies, Inc.
• Bonnie Ball
• Michele Angela Berardi Blair, D.C.
• Craig Blanda, MPT, CERT.MDT
• Priscilla Duerstock
• Grand Chiropractic
• Main Street Dental - Beckett

• All providers in Logan TWP., NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.