Active NPI
Graham P Jones, M.D.
- Family Medicine Physician
- Medford, NJ
National Provider Identifier
1699707364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA01999600
- Practice address
- 152 Himmelien Rd
Suite 100
Medford, NJ 08055-9316 - Phone
- (609) 654-7117
- Fax
- (609) 654-8555
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA01999600 | NJ | Primary |
Addresses
Primary practice location
152 Himmelien Rd
Suite 100
Medford, NJ 08055-9316
Mailing address
500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001008 | Medicaid | NJ |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Medical Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lourdes Medical Associates Surigcal Specialists
- Surgery Physician
- Moorestown, NJ
- NPI 1952645525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1699707364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GROVE ST",
"address_2": "SUITE 100",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351761",
"telephone_number": "856-796-9200",
"fax_number": "856-796-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 HIMMELIEN RD",
"address_2": "SUITE 100",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080559316",
"telephone_number": "609-654-7117",
"fax_number": "609-654-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GRAHAM",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA01999600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001008",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.