Individual provider Active NPI

Amy Nicole Krachman, DO

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1669645800
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB073216 Issued in NJ
Practice address
777 S White Horse Pike
Suite D-1
Hammonton, NJ 08037-2029
Phone
(609) 561-0033
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB073216 NJ Primary

Addresses

Primary practice location

777 S White Horse Pike
Suite D-1
Hammonton, NJ 08037-2029

Mailing address

777 S White Horse Pike
Suite D-1
Hammonton, NJ 08037-2029
Phone (609) 561-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB073216NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1669645800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE D-1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE D-1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACHMAN",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB073216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.