1417 Medical Associates LLC
Psychologist, Addiction (Substance Use Disorder) in Cherry Hill, New Jersey
1659756534- Practice location
- 1417 Brace RD, Cherry Hill, NJ 08034-3524
- Phone
- 561-318-4409
- Fax
- —
- Last updated
- July 21, 2015
1417 Medical Associates LLC is a healthcare organization based in Cherry Hill, NJ. 1417 Medical Associates LLC practices in Cherry Hill, NJ. The NPI Number for 1417 Medical Associates LLC is 1659756534. The current practice location address for 1417 Medical Associates LLC is 1417 Brace RD, Cherry Hill, NJ 08034-3524 and can be reached out via phone at 561-318-4409.
Provider Profile Details
- NPI Number
- 1659756534
- Provider Name
- 1417 Medical Associates LLC
- Provider Entity Type
- Organization
- Address
- 1417 Brace RD, Cherry Hill, NJ 08034-3524
- Phone Number
- 561-318-4409
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Organization Subpart
- No
- Authorized Official
- James Stokes · Ceo · 561-318-4455
- Provider Enumeration Date
- July 21, 2015
- Last Update Date
- July 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1417 Brace RD
Cherry Hill, NJ 08034-3524 - City
- Cherry Hill
- State
- New Jersey
- Zip
- 08034-3524
- Phone Number
- 561-318-4409
Provider Business Mailing Address Details
- Address
- 2328 10TH Ave N Ste 302
Lake Worth, FL 33461-6612 - City
- Lake Worth
- State
- FL
- Zip
- 33461-6612
License Information
- Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Ryan Mcguckin, LPCCounselor, Mental Health · NPI 1164836193
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Frequently Asked Questions
What is the NPI number of 1417 Medical Associates LLC?
The NPI number of 1417 Medical Associates LLC is 1659756534. It was assigned on July 21, 2015 and is currently active in the NPPES registry.
What is the specialty of 1417 Medical Associates LLC?
1417 Medical Associates LLC is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X).
Where does 1417 Medical Associates LLC practice?
The practice location is 1417 Brace RD, Cherry Hill, NJ 08034-3524. The office can be reached at 561-318-4409 (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 1659756534 directly on the NPPES registry website.