Erika Humphreys, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06802200 Issued in NJ

Practice address

1479 Route 539
Suite 1a
Little Egg Harbor TWP, NJ 08087-9749

Phone

(609) 296-1900

Fax

(609) 296-1906

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mystic Island Pediatric Associates, LLC

  • Medical Specialty Clinic/Center
  • Little Egg Harbor TWP, NJ
  • NPI 1679892533
  NPD (past)
• Mystic Island Pediatrics PA

  • Preferred Provider Organization
  • Little Egg Harbor, NJ
  • NPI 1801951892
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1922054931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 ROUTE 539",
            "address_2": "SUITE 1A",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879749",
            "telephone_number": "609-296-1900",
            "fax_number": "609-296-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 ROUTE 539",
            "address_2": "SUITE 1A",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879749",
            "telephone_number": "609-296-1900",
            "fax_number": "609-296-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06802200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genelle Gundersen, OTR
• David Mark Hans Sr.
• Tammy Lee Hansen, PHLEBOTOMY CERT.
• Pamela Harder, OTR/L
• Heather Crawford, D.P.M., L.L.C.
• Michael Ibrahim, D.O.
• Innout Urology Office
• Stephen Jensen, OT
• Jeanne W Kania, OT
• Jennifer L Keen, LCSW

• Pediatrics Physician in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.