NEW AGE BEHAVIORAL PC NPI 1689089344

NPI Information

NPI: 1689089344
Provider Name: NEW AGE BEHAVIORAL PC

Doing Business As: NEW AGE BEHAVIORAL

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
106 CENTRE BLVD
SUITE G
MARLTON, NJ
ZIP 08053
Phone: (856) 797-2810
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NEW AGE BEHAVIORAL PC is a psychiatric/mental health nurse practitioner in Marlton, NJ. NEW AGE BEHAVIORAL PC NPI is 1689089344. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Age Behavioral.

The provider's business location address is:

106 CENTRE BLVD
SUITE G
MARLTON, NJ
ZIP 08053-131
Phone: (856) 797-2810
Fax: (856) 797-2811

The provider's authorized official is Lloyd C Alcera .
The authorized official title is Director and has the following contact phone number (856) 797-2810.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00433300	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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