Individual provider Active NPI

Robert R Hackford Jr., MD

  • Developmental - Behavioral Pediatrics Physician
  • Cape May Court House, NJ
National Provider Identifier
1790786689
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
25MA08111000 Issued in NJ
Practice address
211 S Main St
Suite 301
Cape May Court House, NJ 08210-2264
Phone
(609) 463-1577
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 25MA08111000 NJ Primary

Addresses

Primary practice location

211 S Main St
Suite 301
Cape May Court House, NJ 08210-2264

Mailing address

211 S Main St
Suite 301
Cape May Court House, NJ 08210-2264
Phone (609) 463-1577

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
I20150428000910 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224935713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08111000NJMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1790786689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102264",
            "telephone_number": "609-463-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102264",
            "telephone_number": "609-463-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKFORD",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NJ",
            "license": "25MA08111000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.