Individual provider Active NPI

Justin Michael Fox, M.D.

  • Cardiovascular Disease Physician
  • Hamilton, NJ
National Provider Identifier
1629269600
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08942300 Issued in NJ
Practice address
2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone
(609) 584-1212
Fax
(609) 584-0103
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA08942300 NJ Primary
Interventional Cardiology Physician 207RI0011X 25MA08942300 NJ

Addresses

Primary practice location

2073 Klockner Rd
Hamilton, NJ 08690-3414

Mailing address

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Other identifiers 2

IdentifierTypeStateIssuer
22-3052989OtherNJTAX ID#
0267694MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110727000255 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6901074418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Cardiology Associates PAGroup PAC ID 4284629932, 20 clinicians

Practice addresses (Care Compare)

1262 B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3707
Phone (609) 584-1212

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Provider Group LLC Cardiovascular Disease Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jan 28, 2012 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Cardiovascular Disease CurrentSince Jan 28, 2012 Accepting new patients
Hamilton Cardiology Associates, PA Cardiovascular Disease CurrentSince Aug 1, 2011 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Nov 1, 2015 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

1262B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690
Phone (609) 584-1212

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

5 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 269-9230

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

2073 Klockner Rd
Trenton, NJ 08690
Phone (609) 584-1212

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.762
  • Direct secure messaging: justin.fox.1@33139.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1629269600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08942300",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08942300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "22-3052989",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267694",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.