Individual provider Active NPI

Anthony M Flynn, MD

  • Cardiovascular Disease Physician
  • Galloway, NJ
National Provider Identifier
1912115254
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08939200 Issued in NJ
Practice address
436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205-4487
Phone
(609) 652-0100
Fax
(609) 652-7616
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD433231 PA
Cardiovascular Disease Physician 207RC0000X 25MA08939200 NJ Primary

Addresses

Primary practice location

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205-4487

Mailing address

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205-4487
Phone (609) 652-0100

Other identifiers 1

IdentifierTypeStateIssuer
0278599MedicaidNJ

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
I20110823000512 NJ Practitioner - Cardiovascular Disease (Cardiology) 3476624602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

436 Chris Gaupp Dr
Suite 204
Galloway, NJ 08205-4488
Phone (609) 652-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433231PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Mar 1, 2013 Accepting new patients
Atlanticare Physician Group PA Cardiovascular Disease CurrentSince Mar 1, 2013 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205
Phone (609) 652-0100

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1912115254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CHRIS GAUPP DR",
            "address_2": "STE 204",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054487",
            "telephone_number": "609-652-0100",
            "fax_number": "609-652-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CHRIS GAUPP DR",
            "address_2": "STE 204",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054487",
            "telephone_number": "609-652-0100",
            "fax_number": "609-652-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD433231",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08939200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278599",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.