NPIMap

Organization Active NPI

John J Gartland Jr MD PC

  • Specialist
  • West Deptford, NJ
National Provider Identifier
1639331697
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60918 Issued in NJ
Legal business name
JOHN J GARTLAND JR MD PC
Practice address
636 Kings Hwy
Suite B
West Deptford, NJ 08096-3164
Phone
(856) 845-3443
Fax
(856) 845-4544
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. John Joseph Gartland Jr., M.D.NPI 1417045030
Title
President
Phone
(856) 845-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60918 NJ Primary

Addresses

Primary practice location

636 Kings Hwy
Suite B
West Deptford, NJ 08096-3164

Mailing address

636 Kings Hwy
Suite B
West Deptford, NJ 08096-3164
Phone (856) 845-3443

Other identifiers 1

IdentifierTypeStateIssuer
6610609MedicaidNJ

National Provider Directory

National Provider Directory

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": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1639331697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY",
            "address_2": "SUITE B",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963164",
            "telephone_number": "856-845-3443",
            "fax_number": "856-845-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY",
            "address_2": "SUITE B",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963164",
            "telephone_number": "856-845-3443",
            "fax_number": "856-845-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J GARTLAND JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GARTLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-845-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA60918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6610609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.