Provider Demographics
NPI:1689676421
Name:FLOYD, DARRYL B (MD)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:B
Last Name:FLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218C SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1104
Mailing Address - Country:US
Mailing Address - Phone:609-877-0400
Mailing Address - Fax:609-877-1682
Practice Address - Street 1:218C SUNSET RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1104
Practice Address - Country:US
Practice Address - Phone:609-877-0400
Practice Address - Fax:609-877-1682
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0026372207R00000X
NC90600250207R00000X
NJ25MA07594400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00212194OtherRR MEDICARE
P3604350OtherOXFORD
8430082OtherCIGNA
NJ0007749Medicaid
1641001OtherUNITED HEALTHCARE
3K2982OtherHEALTHNET
0965934000OtherAMERIHEALTH HMO, KEYSTONE, IBC
38241OtherUNIVERSITY HEALTHPLAN
NJ071681 B67Medicare PIN
3K2982OtherHEALTHNET