Organization Active NPI

Hickory Run Family Practice Associates

  • Family Medicine Physician
  • Califon, NJ
National Provider Identifier
1992818074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HICKORY RUN FAMILY PRACTICE ASSOCIATES
Practice address
384 County Road 513
Califon, NJ 07830-4158
Phone
(908) 832-2125
Fax
(908) 832-6149
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John M McGowan, MD
Title
Partner
Phone
(908) 832-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

384 County Road 513
Califon, NJ 07830-4158

Mailing address

384 County Road 513
Califon, NJ 07830-4158
Phone (908) 832-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992818074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 COUNTY ROAD 513",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078304158",
            "telephone_number": "908-832-2125",
            "fax_number": "908-832-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 COUNTY ROAD 513",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078304158",
            "telephone_number": "908-832-2125",
            "fax_number": "908-832-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY RUN FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-832-2125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Califon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.