Active NPI
Adam Hennessey, D.O.
- Emergency Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB09278000
- Practice address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - Phone
- (856) 757-3803
- NPI assigned
- Apr 28, 2009
- Last updated
- Oct 16, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09278000 | NJ | MD | Emergency Medicine Physician |
| 320534-01 | NY | MD | Emergency Medicine Physician |
| 8291 | OK | MD | Emergency Medicine Physician |
| 320534 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Emergency Medicine Specialists, LLC | Current | Accepting new patients | |
| Professional Emergency Medicine Management -- Lake Charles LLC | Emergency Medicine | Current | Accepting new patients |
| Springfield Hospital | Emergency Medicine | Current | Accepting new patients |
| Riverside Emergency Physician Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Samaritan Emergency Medical Services, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Arizona Emergency Medicine Specialists PC | Emergency Medicine | Current | Accepting new patients |
| Integrated Emergency Medicine Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| East Baton Rouge Emergency Physicians Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Thibodaux Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Progressive Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| W4P LLC | Emergency Medicine | Current | Accepting new patients |
| C & M Medical Services, Inc. | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| Medical Services of Suffolk County PC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Springfield Hospital .Inc | Current | Accepting new patients | |
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Emergency Medicine | Past | 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
- ahennessey299191@direct.tgh.org
- 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.
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
Emergency Medicine
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Emergency Medicine Physician
- Zachary, LA
- NPI 1255894952
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bolingbrook, IL
- NPI 1003150962
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1174991632
-
dba Jefferson Urgent Care
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1811235724
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.