James K Heacock MD LLC
Clinic/Center, Health Services in Brick, New Jersey
1235296393- Practice location
- 1640 Route 88, Suite 203, Brick, NJ 08724-3036
- Phone
- 732-458-7777
- Fax
- 732-458-6741
- Last updated
- August 22, 2020
James K Heacock MD LLC is a healthcare organization based in Brick, NJ. James K Heacock MD LLC practices in Brick, NJ. The NPI Number for James K Heacock MD LLC is 1235296393 and holds a License No. MA 34928 (NJ). The current practice location address for James K Heacock MD LLC is 1640 Route 88, Suite 203, Brick, NJ 08724-3036 and can be reached out via phone at 732-458-7777 and via fax at 732-458-6741.
Provider Profile Details
- NPI Number
- 1235296393
- Provider Name
- James K Heacock MD LLC
- Provider Entity Type
- Organization
- Address
- 1640 Route 88, Suite 203, Brick, NJ 08724-3036
- Phone Number
- 732-458-7777
- Fax Number
- 732-458-6741
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Dr. James Kipp Heacock, MD · Owner · 732-458-7777
- Provider Enumeration Date
- January 1, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1640 Route 88
Suite 203
Brick, NJ 08724-3036 - City
- Brick
- State
- New Jersey
- Zip
- 08724-3036
- Phone Number
- 732-458-7777
- Fax Number
- 732-458-6741
Provider Business Mailing Address Details
- Address
- 1640 Route 88
Suite 203
Brick, NJ 08724-3036 - City
- Brick
- State
- NJ
- Zip
- 08724-3036
- Phone Number
- 732-458-7777
- Fax Number
- 732-458-6741
License Information
- License Number
- MA 34928
- License State
- NJ
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of James K Heacock MD LLC?
The NPI number of James K Heacock MD LLC is 1235296393. It was assigned on January 1, 2007 and is currently active in the NPPES registry.
What is the specialty of James K Heacock MD LLC?
James K Heacock MD LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in NJ under license number MA 34928.
Where does James K Heacock MD LLC practice?
The practice location is 1640 Route 88, Suite 203, Brick, NJ 08724-3036. The office can be reached at 732-458-7777 (phone) or 732-458-6741 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235296393 directly on the NPPES registry website.