NPIMap

Individual provider Active NPI

Anthony Brown, D.O.

  • Nephrology Physician
  • Voorhees, NJ
National Provider Identifier
1780631150
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MB62147 Issued in NJ
Practice address
201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424
Phone
(856) 566-5478
Fax
(856) 566-9561
NPI assigned
May 30, 2006
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MB62147 NJ Primary

Addresses

Primary practice location

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424

Mailing address

31 Midbridge Dr
Medford, NJ 08055-3338
Phone (609) 714-2785

Other identifiers 1

IdentifierTypeStateIssuer
7819803MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000194 NJ Practitioner - Nephrology 8729077672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424
Phone (856) 566-5478

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB62147NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC Nephrology CurrentSince Apr 1, 2024 Accepting new patients
Nephrology and Hypertension Nephrology CurrentSince Sep 1, 2004 Accepting new patients
Kennedy University Hospital, Inc Past Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

300 Medical Center Dr
Ste A
Sewell, NJ 08080
Phone (856) 218-4918

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: abrown29452@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1780631150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MIDBRIDGE DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553338",
            "telephone_number": "609-714-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAUREL OAK RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434424",
            "telephone_number": "856-566-5478",
            "fax_number": "856-566-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MB62147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7819803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.