NPIMap

Organization Active NPI

Marriageforkeeps Wellness Center LLC

  • Exclusive Provider Organization
  • Wake Forest, NC
National Provider Identifier
1013465269
Registry record updated Sep 16, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
37FI00176300 Issued in NJ
Legal business name
MARRIAGEFORKEEPS WELLNESS CENTER LLC
Practice address
9600 Broad Brush Ave
Wake Forest, NC 27587-0004
Phone
(908) 705-6822
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
William E CampbellNPI 1659816023
Title
President/Ceo
Phone
(908) 705-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 37FI00176300 NJ Primary

Addresses

Primary practice location

9600 Broad Brush Ave
Wake Forest, NC 27587-0004

Mailing address

9600 Broad Brush Ave
Wake Forest, NC 27587-0004
Phone (908) 705-6822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1013465269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BROAD BRUSH AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275870004",
            "telephone_number": "908-705-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BROAD BRUSH AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275870004",
            "telephone_number": "908-705-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGEFORKEEPS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-705-6822"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "37FI00176300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.