Provider Demographics
NPI:1952345753
Name:HAMMOND, BETTY (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4947
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:18 CENTRE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1501
Practice Address - Country:US
Practice Address - Phone:609-655-5178
Practice Address - Fax:609-655-5284
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03951900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0133234000OtherAMERIHEALTH #
NJP01018734OtherRAILROAD MEDICARE
NJ1205901Medicaid
NJ5314355OtherAETNA PPO #
NJP00399721OtherRR MDCR #
NJP3653491OtherOXFORD #
NJ6D0901OtherEMPIRE BC/BS #
NJ1139979OtherAETNA HMO #
NJ3K2135OtherHEALTHNET #
NJ229056A02Medicare PIN
NJ3K2135OtherHEALTHNET #
NJP01018734OtherRAILROAD MEDICARE
NJ5314355OtherAETNA PPO #