Provider Demographics
NPI:1548290695
Name:HAPNER, BYRON (DO)
Entity type:Individual
Prefix:DR
First Name:BYRON
Middle Name:
Last Name:HAPNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-0164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:445 HURFFVILLE CROSSKEYS RD STE A
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2337
Practice Address - Country:US
Practice Address - Phone:856-557-5573
Practice Address - Fax:856-875-9556
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06105300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6496903Medicaid
NJP00966363OtherRAILROAD MEDICARE PTAN
NJP00966363OtherRAILROAD MEDICARE PTAN
NJ538784Medicare PIN