Active NPI
Harris David Slavick, MD
- Urology Physician
- Vineland, NJ
National Provider Identifier
1699872234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MA28690
- Practice address
- 1317 S Main Rd Ste 2a
Vineland, NJ 08360-6511 - Phone
- (856) 691-2225
- Fax
- (856) 696-6992
- NPI assigned
- Sep 17, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA28690 | NJ | Primary |
Addresses
Primary practice location
1317 S Main Rd Ste 2a
Vineland, NJ 08360-6511
Mailing address
1317 South Main Road #2a
Vineland, NJ 08360-6511
Phone (856) 691-2225
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J006377 | Other | NJ | TRICARE ID # |
| 1044982 | Other | NJ | HORIZON NJ HEALTH |
| 222114864 | Other | NJ | HORIZON PROVIDER ID |
| 31D0121012 | Other | NJ | CLIA ID |
| 342921013 | Other | NJ | RAILROAD MEDICARE ID |
| 00071888000 | Other | NJ | AMERIHEALTH PROVIDER ID |
| 222114864 | Other | NJ | FEDERAL TAX ID |
| 2825708 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA28690 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1699872234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 SOUTH MAIN ROAD #2A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606511",
"telephone_number": "856-691-2225",
"fax_number": "856-696-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 S MAIN RD STE 2A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606511",
"telephone_number": "856-691-2225",
"fax_number": "856-696-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVICK",
"first_name": "HARRIS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "MA28690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE ID #",
"identifier": "J006377",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1044982",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON PROVIDER ID",
"identifier": "222114864",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID",
"identifier": "31D0121012",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "342921013",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PROVIDER ID",
"identifier": "00071888000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "222114864",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2825708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.