Active NPI
Jefferson Health New Jersey Direct Primary Care, P.C.
- Family Medicine Physician
- Haddonfield, NJ
National Provider Identifier
1740848530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.