Active NPI
Trenton Family Practice P.C.
- Specialist
- Trenton, NJ
National Provider Identifier
1740247964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA59582
- Legal business name
- TRENTON FAMILY PRACTICE P.C.
- Practice address
- 725 West Statestreet
Trenton, NJ 08618 - Phone
- (609) 392-2585
- Fax
- (609) 392-1448
- NPI assigned
- May 1, 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
- Jon M. Regis, M.D.
- Title
- President
- Phone
- (609) 272-0655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA59582 | NJ | Primary |
Addresses
Primary practice location
725 West Statestreet
Trenton, NJ 08618
Mailing address
22 North Franklin Avenue
2ND Floor
Pleasantville, NJ 08232
Phone (609) 272-0655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5569702 | Medicaid | NJ | |
| 6416802 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
725 W State St
Trenton, NJ 08618
Phone (609) 392-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335744000000",
"number": "1740247964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 NORTH FRANKLIN AVENUE",
"address_2": "2ND FLOOR",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "08232",
"telephone_number": "609-272-0655",
"fax_number": "609-272-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WEST STATESTREET",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08618",
"telephone_number": "609-392-2585",
"fax_number": "609-392-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRENTON FAMILY PRACTICE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2012-04-30",
"status": "A",
"authorized_official_last_name": "REGIS",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-272-0655",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA59582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5569702",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6416802",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.