Active NPI
Waldron & Holton Internal Medicine
- Internal Medicine Physician
- Medford, NJ
National Provider Identifier
1710911920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WALDRON & HOLTON INTERNAL MEDICINE
- Practice address
- 69 North Main Street
Medford, NJ 08055 - Phone
- (609) 953-9000
- Fax
- (609) 953-9696
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Waldron, DO
- Title
- President Internist
- Phone
- (609) 953-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
69 North Main Street
Medford, NJ 08055
Mailing address
69 North Main Street
Medford, NJ 08055
Phone (609) 953-9000
National Provider Directory
National Provider DirectoryLocations
69 N Main St
Medford, NJ 08055
Phone (609) 220-0673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710911920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 NORTH MAIN STREET",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "08055",
"telephone_number": "609-953-9000",
"fax_number": "609-953-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 NORTH MAIN STREET",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "08055",
"telephone_number": "609-953-9000",
"fax_number": "609-953-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALDRON & HOLTON INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALDRON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT INTERNIST",
"authorized_official_telephone_number": "609-953-9000",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.