Individual provider Active NPI

William P Anthony, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Camden, NJ
National Provider Identifier
1770526790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA05616800 Issued in NJ
Practice address
1600 Haddon Ave
Room 122
Camden, NJ 08103-3101
Phone
(856) 757-3879
Fax
(856) 757-3760
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA05616800 NJ Primary

Addresses

Primary practice location

1600 Haddon Ave
Room 122
Camden, NJ 08103-3101

Mailing address

PO Box 8505
Cherry Hill, NJ 08002-0505
Phone (856) 755-1616

Other identifiers 9

IdentifierTypeStateIssuer
0453481001OtherCIGNA
4200309OtherAETNA
14336OtherMHCS
24102OtherNJAMERIGROUP
1084610OtherNJHORIZON NJ HEALTH
5076901MedicaidNJ
0075563000OtherAMERIHEALTH / KEYSTONE
875081OtherCCN
J23790OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001162 NJ Practitioner - Physical Medicine and Rehabilitation 4587745765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Buffalo School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Physiatrists of Southern New Jersey PAGroup PAC ID 7719068089, 3 clinicians

Practice addresses (Care Compare)

216 Haddon Ave
Suite 106
Haddon Township, NJ 08108-2810
Phone (856) 833-1790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05616800NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physiatrists of Southern New Jersey PA Physical Medicine & Rehabilitation CurrentSince Aug 6, 1991 Accepting new patients

Locations

1600 Haddon Ave
Rm R122
Camden, NJ 08103
Phone (856) 757-3878

1600 Haddon Ave
Rm 122
Camden, NJ 08103
Phone (856) 757-3872

175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198

120 Madison Ave
Ste D
Mount Holly, NJ 08060
Phone (609) 261-1660

636 Kings Hwy
West Deptford, NJ 08096
Phone (609) 314-8330

636 Kings Hwy
Ste B
West Deptford, NJ 08096
Phone (856) 845-3443

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770526790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8505",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020505",
            "telephone_number": "856-755-1616",
            "fax_number": "856-755-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "address_2": "ROOM 122",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3879",
            "fax_number": "856-757-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05616800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0453481001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4200309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCS",
            "identifier": "14336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "24102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1084610",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5076901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH / KEYSTONE",
            "identifier": "0075563000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "875081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J23790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.