Active NPI
Richard Jeffries
- Specialist
- Browns Mills, NJ
National Provider Identifier
1659592731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MB07738600
- Practice address
- 200 Trenton Rd
Browns Mills, NJ 08015-1705 - Phone
- (609) 893-6611
- Fax
- (609) 735-0175
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MB07738600 | NJ | Primary |
Addresses
Primary practice location
200 Trenton Rd
Browns Mills, NJ 08015-1705
Mailing address
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121008000559 | PA | Order and Referring Only - Cardiovascular Disease (Cardiology) | 1355539495 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07738600 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659592731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TRENTON RD",
"city": "BROWNS MILLS",
"state": "NJ",
"postal_code": "080151705",
"telephone_number": "609-893-6611",
"fax_number": "609-735-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRENTON RD",
"city": "BROWNS MILLS",
"state": "NJ",
"postal_code": "080151705",
"telephone_number": "609-893-6611",
"fax_number": "609-735-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MB07738600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Browns Mills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.