JAMES K HEACOCK MD LLC
NPI 1235296393
Clinic/Center - Health Service in Brick, NJ

Active since January 01, 2007
1640 ROUTE 88, SUITE 203, BRICK, NJ 08724(732) 458-7777(732) 458-6741 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James K Heacock Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES K HEACOCK MD LLC (NPI 1235296393) is a healthcare organization registered as a health service in Brick, New Jersey and active in the NPI registry since January 2007. The organization lists James Kipp Heacock, Owner, as its authorized official.

NPPES Registry Identity

NPI1235296393
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameJAMES K HEACOCK MD LLC
Location Address1640 ROUTE 88, SUITE 203Brick, NJ 08724-3036
Mailing Address1640 Route 88, Suite 203Brick, NJ 08724-3036 · (732) 458-7777 · Fax (732) 458-6741
Fax(732) 458-6741
Organization SubpartNo
Authorized OfficialJames Kipp HeacockOwner · (732) 458-7777
Enumeration DateJanuary 1, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1235296393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in NJ · MA 34928
1640 ROUTE 88, Brick, NJ 08724

Other Identifiers 1

Medicaid4745809NJ

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1640 ROUTE 88
BRICK, NJ 08724
Family Medicine
1640 ROUTE 88, SUITE 203
BRICK, NJ 08724
Internal Medicine
1640 ROUTE 88, SUITE 203
BRICK, NJ 08724
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1640 ROUTE 88, BRICK MEDICAL ARTS BUILDING SUITE 102
BRICK, NJ 08724
Clinic/Center (Medical Specialty)
1640 ROUTE 88, SUITE 203
BRICK, NJ 08724
Family Medicine
1640 ROUTE 88, SUITE 203
BRICK, NJ 08724
Physical Therapist
1640 ROUTE 88
BRICK, NJ 08724
Internal Medicine (Gastroenterology)
1640 ROUTE 88, SUITE 202
BRICK, NJ 08724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James K Heacock MD LLC's NPI number?

The NPI number for James K Heacock MD LLC is 1235296393. It was assigned to this organization in the NPPES registry on January 1, 2007.

Where is James K Heacock MD LLC located?

James K Heacock MD LLC is located at 1640 Route 88 Suite 203, Brick, NJ 08724. The listed phone number is (732) 458-7777.

What is James K Heacock MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for James K Heacock MD LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.