Herbert Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00123900 Issued in NJ

Practice address

137 High St FL 2a
Mount Holly, NJ 08060-1476

Phone

(609) 474-0120

Fax

(609) 474-0121

NPI assigned

Jul 31, 2006

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: herbert.williams.1@11700.direct.athenahealth.com

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.

• Ennoble HC NJ II PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1871475806
  Medicare reassignment NPD
• Ennoble HC NJ III PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1043192099
  Medicare reassignment NPD
• Orthonj LLC

  • Orthopaedic Surgery Physician
  • Somerset, NJ
  • NPI 1720557432
  Medicare reassignment NPD
• Clare Medical of New Jersey LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Holly, NJ
  • NPI 1255718276
  Medicare reassignment
• Ennoble HC NJ PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1306500764
  Medicare reassignment
• Orthonj LLC

  • Durable Medical Equipment & Medical Supplies
  • Galloway, NJ
  • NPI 1487448312
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1982610895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LETHBRIDGE PLZ STE 20",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302114",
            "telephone_number": "609-474-0120",
            "fax_number": "609-474-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIGH ST FL 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601476",
            "telephone_number": "609-474-0120",
            "fax_number": "609-474-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HERBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00123900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Scheduling@getclare.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Clare Medical of New Jersey LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "137 High St Fl 2A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina White
• Jan Wierski
• Kathy Lynn Wilkes, D.O.
• Camille Williams
• Elizabeth Williams
• Alison J Wilson, APN
• Brenda Wong
• Renada R. Woodward, FNP-C

• Physician Assistant in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.