Active NPI
Megan Eileen Hargrave, D.O.
- Family Medicine Physician
- Williamstown, NJ
National Provider Identifier
1780687723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB068236
- Practice address
- 220 Pine St
Williamstown, NJ 08094-1137 - Phone
- (856) 629-7436
- Fax
- (856) 875-4742
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB068236 | NJ | Primary |
Addresses
Primary practice location
220 Pine St
Williamstown, NJ 08094-1137
Mailing address
220 Pine St
Williamstown, NJ 08094-1137
Phone (856) 629-7436
Other names 1
- Megan Eileen Reilly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB068236 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1780687723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 PINE ST",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941137",
"telephone_number": "856-629-7436",
"fax_number": "856-875-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 PINE ST",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941137",
"telephone_number": "856-629-7436",
"fax_number": "856-875-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGRAVE",
"first_name": "MEGAN",
"middle_name": "EILEEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB068236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "REILLY",
"middle_name": "EILEEN",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.