Organization Active NPI

Kingston Medical Practice

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1780603829
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA19911 Issued in NJ
Legal business name
KINGSTON MEDICAL PRACTICE
Practice address
1046 Dell Dr
Cherry Hill, NJ 08003-2911
Phone
(856) 495-9564
Fax
(856) 667-4365
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Murray H Moliken, MD
Title
Owner
Phone
(856) 667-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MA19911 NJ Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME12118 FL
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MD007509E PA

Addresses

Primary practice location

1046 Dell Dr
Cherry Hill, NJ 08003-2911

Mailing address

1046 Dell Dr
Cherry Hill, NJ 08003-2911
Phone (856) 495-9564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1780603829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 DELL DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032911",
            "telephone_number": "856-495-9564",
            "fax_number": "856-667-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 DELL DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032911",
            "telephone_number": "856-495-9564",
            "fax_number": "856-667-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MOLIKEN",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-667-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA19911",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME12118",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD007509E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.