John A Carlson Jr., MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

MA55574 Issued in NJ

Practice address

200 Bowman Drive
Suite E315
Voorhees, NJ 08043

Phone

(856) 247-7310

Fax

(856) 247-7309

NPI assigned

Apr 25, 2006

Last updated

Apr 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Virtua Surgical Group, P.a

  • Surgery Physician
  • Cherry Hill, NJ
  • NPI 1184811945
  NPD (past)
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  NPD (past)
• Philadelphia Health & Education Corporation

  dba Drexel Gynecology-Oncology Services

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1356496038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1710943121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUEL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DRIVE",
            "address_2": "SUITE E315",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-247-7310",
            "fax_number": "856-247-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NJ",
            "license": "MA55574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana Andrea Cardenas, MD
• Cardiac Care Specialists P.C. (Southern New Jersey Cardiac Specialists)
• Cardiac Interpretation Services, LLC
• Cardinal Kids Therapy, LLC
• Danielle Carey, DO
• Allison C Carr, BCBA
• Shanekqua Tikeya Carter, CNM
• Shawdae Carter, MSCJ, CPRS, CHW
• Brianna Casamassima
• John Case, MD

• Gynecologic Oncology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Gynecologic Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.