Individual provider Active NPI

Florence B Eatman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • South Orange, NJ
National Provider Identifier
1942252374
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA044211 Issued in NJ
Practice address
20 Valley St
Suite 320
South Orange, NJ 07079-2887
Phone
(973) 313-1113
Fax
(973) 761-4347
NPI assigned
May 16, 2006
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA044211 NJ Primary

Addresses

Primary practice location

20 Valley St
Suite 320
South Orange, NJ 07079-2887

Mailing address

PO Box 443
South Orange, NJ 07079-0443
Phone (973) 761-6203

Other identifiers 1

IdentifierTypeStateIssuer
3281302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100622000294 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3375686264 Practice locations: South Orange, NJ
I20151214000123 NJ Practitioner - Internal Medicine 3375686264 Practice locations: South Orange, NJ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldson Medical Associates, LLC PastSince Jun 7, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1942252374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070790443",
            "telephone_number": "973-761-6203",
            "fax_number": "973-761-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VALLEY ST",
            "address_2": "SUITE 320",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792887",
            "telephone_number": "973-313-1113",
            "fax_number": "973-761-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATMAN",
        "first_name": "FLORENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA044211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3281302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.