MEDICARE: MICHAEL J HICKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD023250E	PA
2	207Q00000X	Family Medicine Physician	25MA09803100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245232198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J HICKS MD

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 ROUTE 130 BLDG C
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-2414
Country	:	US
Telephone Number	:	856-705-0685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/09/2022

Similar Medicare Providers

1245229913 — DR. ANNABELLE BELLO DIMAPILIS D.O
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax:

1538191432 — EILEEN M. SINGER DO
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax:

1871609149 — MOISHE STARKMAN M.D.
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax: 856-705-0686

1558579631 — DR. SAMUEL L. FRIEDMAN D.O.
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax:

1407134000 — RITA THERESA HARTY MS PA-C
Practice Location Address:

4000 ROUTE 130
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax: 727-210-4600

1336547819 — HS HEALTH LLC
Practice Location Address:

4000 ROUTE 130 # UNITE17
DELRAN, NJ
08075-2414

Practice Phone: 856-393-7840
Practice Fax: 856-494-1563

Directions to “ MICHAEL J HICKS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.