Individual provider Active NPI

Brian J Pahlow, D.O.

  • Cardiovascular Disease Physician
  • Woodstown, NJ
National Provider Identifier
1972693349
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB04797500 Issued in NJ
Practice address
125 East Ave
Suite D
Woodstown, NJ 08098-1351
Phone
(856) 769-3900
Fax
(856) 769-3903
NPI assigned
Oct 13, 2006
Last updated
May 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 25MB04797500 NJ Primary
Cardiovascular Disease Physician 207RC0000X C2-0005949 DE

Addresses

Primary practice location

125 East Ave
Suite D
Woodstown, NJ 08098-1351

Mailing address

125 East Ave
Suite D
Woodstown, NJ 08098-1351
Phone (856) 769-3900

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
I20041018000102 NJ Practitioner - Cardiovascular Disease (Cardiology) 8628970514 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Jan 13, 2015 Accepting new patients
Christiana Care Health Initiatives CurrentSince Apr 1, 2018 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 1, 2004 Accepting new patients
Christiana Care Health Initiatives CurrentSince Apr 1, 2018 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 13, 2015 Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients
Ekg Interpreters of Salem County PA Cardiovascular Disease Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 477-6510

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

341 Shell Rd
Penns Grove, NJ 08069
Phone (609) 299-4600

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

4 Bypass Rd
Ste 103A
Salem, NJ 08079
Phone (856) 935-6700

125 East Ave
Ste C
Woodstown, NJ 08098
Phone (856) 769-2800

125 East Ave
Ste D
Woodstown, NJ 08098
Phone (856) 769-3900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 9

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1972693349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST AVE",
            "address_2": "SUITE D",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-3900",
            "fax_number": "856-769-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST AVE",
            "address_2": "SUITE D",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-3900",
            "fax_number": "856-769-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLOW",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB04797500",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C2-0005949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstown, NJ

Sources for this page

Verify at the official NPI Registry.