Organization Active NPI

Capital Health System

Doing business as Institute for Neurosciences

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Mercerville, NJ
National Provider Identifier
1013108190
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
25MA05023500 Issued in NJ
Legal business name
CAPITAL HEALTH SYSTEM
Doing business as
Institute for Neurosciences
Practice address
1401 Whitehorse Mercerville Road
Suite 216
Mercerville, NJ 08619-3817
Phone
(609) 528-8888
Fax
(609) 584-5151
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Nathan Bosk
Title
VP Ambulatory Services Division
Phone
(609) 278-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X 25MA05023500 NJ Primary

Addresses

Primary practice location

1401 Whitehorse Mercerville Road
Suite 216
Mercerville, NJ 08619-3817

Mailing address

PO Box 8500-9956
Philadelphia, PA 19178-9956
Phone (609) 815-7810

Other identifiers 1

IdentifierTypeStateIssuer
4013409MedicaidNJ

Other names 1

  • Institute for Neurosciences Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1401 Whitehorse Mercerville Rd
Ste 216
Mercerville, NJ 08619
Phone (609) 528-8888

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1013108190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-9956",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789956",
            "telephone_number": "609-815-7810",
            "fax_number": "609-815-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WHITEHORSE MERCERVILLE ROAD",
            "address_2": "SUITE 216",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193817",
            "telephone_number": "609-528-8888",
            "fax_number": "609-584-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "BOSK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP  AMBULATORY SERVICES DIVISION",
        "authorized_official_telephone_number": "609-278-5438"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA05023500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4013409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Neurosciences",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.