Organization Active NPI

Jefferson Health New Jersey Direct Primary Care, P.C.

  • Family Medicine Physician
  • Haddonfield, NJ
National Provider Identifier
1740848530
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEFFERSON HEALTH NEW JERSEY DIRECT PRIMARY CARE, P.C.
Practice address
308 N Haddon Ave Ste 308-1
Haddonfield, NJ 08033-1723
Phone
(856) 883-5249
Fax
(856) 477-2539
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Joseph James Runfola, MD
Title
Managing Physician
Phone
(856) 883-5249

Specialties & licenses 1

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

Addresses

Primary practice location

308 N Haddon Ave Ste 308-1
Haddonfield, NJ 08033-1723

Mailing address

308 N Haddon Ave Ste 308-1
Haddonfield, NJ 08033-1723
Phone (856) 883-5249

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1740848530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N HADDON AVE STE 308-1",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331723",
            "telephone_number": "856-883-5249",
            "fax_number": "856-477-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N HADDON AVE STE 308-1",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331723",
            "telephone_number": "856-883-5249",
            "fax_number": "856-477-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTH NEW JERSEY DIRECT PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "RUNFOLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "856-883-5249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jun 5, 2019; 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.