Organization Active NPI

Rowan Wellness Center - Family Medicine

  • Family Medicine Physician
  • Glassboro, NJ
National Provider Identifier
1003282153
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROWAN WELLNESS CENTER - FAMILY MEDICINE
Practice address
201 Mullica Hill Rd
Winans Hall
Glassboro, NJ 08028-1700
Phone
(856) 256-4333
Fax
(856) 256-4427
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph F Scully Jr.
Title
Vice President of Finance & Cfo
Phone
(856) 256-4127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

201 Mullica Hill Rd
Winans Hall
Glassboro, NJ 08028-1700

Mailing address

201 Mullica Hill Rd
Winans Hall
Glassboro, NJ 08028-1700
Phone (856) 256-4333

National Provider Directory

National Provider Directory

Locations

201 Mullica Hill Rd
Glassboro, NJ 08028
Phone (856) 256-4000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1003282153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "address_2": "WINANS HALL",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4333",
            "fax_number": "856-256-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "address_2": "WINANS HALL",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4333",
            "fax_number": "856-256-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN WELLNESS CENTER - FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE & CFO",
        "authorized_official_telephone_number": "856-256-4127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.