Organization Active NPI

Teresa Smith Ball LLC

  • Family Medicine Physician
  • Delran, NJ
National Provider Identifier
1821176249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TERESA SMITH BALL LLC
Doing business as
DELRAN FAMILY PRACTICE
Practice address
8008 Route 130 North
Suite 120
Delran, NJ 08075
Phone
(856) 764-7997
Fax
(856) 764-1840
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Nutter
Title
Office Manager
Phone
(856) 764-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8008 Route 130 North
Suite 120
Delran, NJ 08075

Mailing address

8008 Route 130 North
Suite 120
Delran, NJ 08075
Phone (856) 764-7997

Other names 1

  • DELRAN FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821176249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130 NORTH",
            "address_2": "SUITE 120",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08075",
            "telephone_number": "856-764-7997",
            "fax_number": "856-764-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130 NORTH",
            "address_2": "SUITE 120",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08075",
            "telephone_number": "856-764-7997",
            "fax_number": "856-764-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA SMITH BALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUTTER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-764-7997"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELRAN FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.