Individual provider Active NPI

Adam Hennessey, D.O.

  • Emergency Medicine Physician
  • Camden, NJ
National Provider Identifier
1689818197
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB09278000 Issued in NJ
Practice address
1600 Haddon Ave
Camden, NJ 08103-3101
Phone
(856) 757-3803
NPI assigned
Apr 28, 2009
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 329613 LA
Emergency Medicine Physician 207P00000X 8291 OK
Emergency Medicine Physician 207P00000X 320534-01 NY
Emergency Medicine Physician 207P00000X OS016523 PA
Emergency Medicine Physician 207P00000X 25MB09278000 NJ Primary

Addresses

Primary practice location

1600 Haddon Ave
Camden, NJ 08103-3101

Mailing address

1236 RXR PLZ
Uniondale, NY 11556-1236
Phone (484) 788-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, LA, FL, AZ, VT, IL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20130916000135 PA Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 4 organizations
I20230714000037 NY Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 5 organizations
I20230913003068 LA Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 6 organizations
I20240423003834 FL Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 3 organizations
I20241114001924 AZ Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 1 organization
I20250814002326 VT Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 2 organizations
I20251210002520 IL Practitioner - Emergency Medicine 4981848876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Hospital Inc.Group PAC ID 6507760337, 63 clinicians

Practice addresses (Care Compare)

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09278000NJMDEmergency Medicine Physician
320534-01NYMDEmergency Medicine Physician
8291OKMDEmergency Medicine Physician
320534NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Oct 19, 2025 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Springfield Hospital Emergency Medicine CurrentSince Dec 30, 2025 Accepting new patients
Riverside Emergency Physician Partners LLC Emergency Medicine CurrentSince May 6, 2024 Accepting new patients
Mercy Medical Center CurrentSince Feb 5, 2024 Accepting new patients
Samaritan Emergency Medical Services, PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mercy Medical Center CurrentSince Feb 5, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Integrated Emergency Medicine Specialists LLC Emergency Medicine CurrentSince Jul 5, 2025 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Oct 21, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Apr 1, 2015 Accepting new patients
East Baton Rouge Emergency Physicians Group, LLC Emergency Medicine CurrentSince Aug 9, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Francis Hospital CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Jul 1, 2023 Accepting new patients
Thibodaux Emergency Physicians Group LLC Emergency Medicine CurrentSince Oct 4, 2024 Accepting new patients
Progressive Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 4, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
W4P LLC Emergency Medicine CurrentSince May 15, 2024 Accepting new patients
C & M Medical Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Apr 1, 2015 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Jul 1, 2023 Accepting new patients
St. Francis Hospital Current Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 13, 2025 Accepting new patients
Springfield Hospital .Inc CurrentSince Sep 8, 2025 Accepting new patients
Professional Emergency Physician Associates, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Jefferson University Physicians Emergency Medicine PastSince Aug 4, 2013 Accepting new patients

Locations (25 of 34)

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Dept AT952639
Atlanta, GA 31192

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1236 Rxr Plz
Uniondale, NY 11556
Phone (516) 252-3939

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ahennessey299191@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 31

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

View all 31

Hospital & facility affiliations 2

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1689818197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561236",
            "telephone_number": "484-788-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "329613",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8291",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "320534-01",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016523",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB09278000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.