Organization Active NPI

Haddonfield Family Practice, P.a.

  • Family Medicine Physician
  • Haddonfield, NJ
National Provider Identifier
1720084866
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04041400 Issued in NJ
Legal business name
HADDONFIELD FAMILY PRACTICE, P.A.
Practice address
15 E Redman Ave
Haddonfield, NJ 08033-2314
Phone
(856) 428-1335
Fax
(856) 428-6334
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
James W Vick, MD
Title
President
Phone
(856) 428-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA04041400 NJ Primary

Addresses

Primary practice location

15 E Redman Ave
Haddonfield, NJ 08033-2314

Mailing address

15 E Redman Ave
Haddonfield, NJ 08033-2314
Phone (856) 428-1335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1720084866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-428-1335",
            "fax_number": "856-428-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-428-1335",
            "fax_number": "856-428-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDONFIELD FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-428-1335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04041400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.