Christine A King, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA66267 Issued in NJ

Practice address

155 Route 70
Medford, NJ 08055-2378

Phone

(609) 654-6411

Fax

(609) 654-6451

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1649461690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROUTE 70",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552378",
            "telephone_number": "609-654-6411",
            "fax_number": "609-654-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROUTE 70",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552378",
            "telephone_number": "609-654-6411",
            "fax_number": "609-654-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA66267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LISCENSE",
            "identifier": "MA66267",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7924801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A Kiessling, DDS
• Kim S.Nagle, DC
• David H Kim, M.D.
• Doshik Kim, DMD
• John Yohan Kim, M.D.
• Elizabeth King, PT, DPT
• Kylene Elizabeth Kirk
• David Klatz, OD
• Rachel S. Klein, MD
• Stan Kletkewicz Jr., MA

• Family Medicine Physician in Medford, NJ
• Providers in Medford, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.