Momentum Medicine Plus LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MB08477000 Issued in NJ

Legal business name

MOMENTUM MEDICINE PLUS LLC

Practice address

113 White Horse Rd W
Suite 7
Voorhees, NJ 08043-3672

Phone

(856) 552-2208

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Juan Carlos Cornejo, DO

Title

Medical Director

Phone

(856) 552-2208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1023433604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WHITE HORSE RD W",
            "address_2": "SUITE 7",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433672",
            "telephone_number": "856-552-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WHITE HORSE RD W",
            "address_2": "SUITE 7",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433672",
            "telephone_number": "856-552-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM MEDICINE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-552-2208",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB08477000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parth Chandrakant Modi, M.D./M.H.A.
• Salah Mohageb, M.D.
• Jamil Mohsin, MD
• Diane Molfetas, CPRS
• Briana M Molino, BCBA
• Anudeep Momi, DO
• Clarissa A Monckton, APN
• Adam Mondelblatt, ED.S, MA, LPC, NCC
• Amanda Monks, DPT
• Monmouth Equipment & Service

• Sports Medicine (Family Medicine) Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.