Src Pending Consult Management
Clinic/Center in Fort Dix, New Jersey
1366433534- Practice location
- 5250 Maryland Ave, Fort Dix, NJ 08640-5058
- Phone
- 609-562-6312
- Fax
- —
- Last updated
- August 22, 2020
Src Pending Consult Management is a healthcare organization based in Fort Dix, NJ. Src Pending Consult Management practices in Fort Dix, NJ. The NPI Number for Src Pending Consult Management is 1366433534 and holds a License No. 26NR09534400 (NJ). The current practice location address for Src Pending Consult Management is 5250 Maryland Ave, Fort Dix, NJ 08640-5058 and can be reached out via phone at 609-562-6312.
Provider Profile Details
- NPI Number
- 1366433534
- Provider Name
- Src Pending Consult Management
- Provider Entity Type
- Organization
- Address
- 5250 Maryland Ave, Fort Dix, NJ 08640-5058
- Phone Number
- 609-562-6312
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Christala Cherry, RN, BSN · Case Manager · 609-562-6312
- Provider Enumeration Date
- November 4, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5250 Maryland Ave
Fort Dix, NJ 08640-5058 - City
- Fort Dix
- State
- New Jersey
- Zip
- 08640-5058
- Phone Number
- 609-562-6312
Provider Business Mailing Address Details
- Address
- 1312 Paris CT
Lakewood, NJ 08701-3724 - City
- Lakewood
- State
- NJ
- Zip
- 08701-3724
- Phone Number
- 732-267-7737
License Information
- License Number
- 26NR09534400
- License State
- NJ
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Fort Dix, NJ
View all Clinic/Centers in Fort Dix →- Ms. Jamie Greenspan, MSW, LCSW, LCADCSocial Worker, Clinical · NPI 1497726087
- Ms. Michelle D Guy, LPNLicensed Practical Nurse · NPI 1578535688
- Ms. Thelma Campbell, NURSERegistered Nurse · NPI 1003887951
- Ms. Alice Psirakis, LMSWSocial Worker · NPI 1346212198
- Ms. Marilyn A Mears, RNRegistered Nurse · NPI 1831168210
- Joy A Hoffman, PTAPhysical Therapy Assistant · NPI 1164494357
Frequently Asked Questions
What is the NPI number of Src Pending Consult Management?
The NPI number of Src Pending Consult Management is 1366433534. It was assigned on November 4, 2005 and is currently active in the NPPES registry.
What is the specialty of Src Pending Consult Management?
Src Pending Consult Management is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 26NR09534400.
Where does Src Pending Consult Management practice?
The practice location is 5250 Maryland Ave, Fort Dix, NJ 08640-5058. The office can be reached at 609-562-6312 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366433534 directly on the NPPES registry website.