Active NPIIndividual provider

Michael J Hicks, MD

Family Medicine in Delran, New Jersey

NPI Number1245232198
Practice location
4000 Route 130 Bldg C, Delran, NJ 08075-2414
Fax
—
Last updated
February 9, 2022

Michael J Hicks is a Family Medicine based in Delran, NJ. Michael J Hicks practices in Delran, NJ and has the professional credentials of MD. The NPI Number for Michael J Hicks is 1245232198 and holds a License No. MD023250E (PA). The current practice location address for Michael J Hicks is 4000 Route 130 Bldg C, Delran, NJ 08075-2414 and can be reached out via phone at 856-705-0685.

Provider Profile Details

NPI Number
1245232198
Provider Name
Michael J Hicks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4000 Route 130 Bldg C, Delran, NJ 08075-2414
Phone Number
856-705-0685
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2005
Last Update Date
February 9, 2022
Certification Date
February 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4000 Route 130 Bldg C
Delran, NJ 08075-2414
City
Delran
Zip
08075-2414
Phone Number
856-705-0685
Delran, NJ 08075Get directions →

Provider Business Mailing Address Details

Address
5000 Cox RD
Glen Allen, VA 23060-9263
City
Glen Allen
State
VA
Zip
23060-9263
Phone Number
804-968-5700

License Information

License Number (1)
MD023250E
License State (1)
PA
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MA09803100
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michael J Hicks, MD?

The NPI number of Michael J Hicks, MD is 1245232198. It was assigned on August 11, 2005 and is currently active in the NPPES registry.

What is the specialty of Michael J Hicks, MD?

Michael J Hicks, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number MD023250E.

Where does Michael J Hicks, MD practice?

The practice location is 4000 Route 130 Bldg C, Delran, NJ 08075-2414. The office can be reached at 856-705-0685 (phone).

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 1245232198 directly on the NPPES registry website.

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