Active NPI
LD Recovery Solutions, Inc.
Doing business as Project Walk New Jersey
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Mount Laurel, NJ
National Provider Identifier
1033696703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- LD RECOVERY SOLUTIONS, INC.
- Doing business as
- Project Walk New Jersey
- Practice address
- 521 Fellowship Rd Ste 155
Mount Laurel, NJ 08054-3442 - Phone
- (856) 439-6772
- Fax
- (856) 206-0519
- NPI assigned
- Jul 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Christine Clark
- Title
- Executive Director
- Phone
- (856) 439-6772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | Primary |
Addresses
Primary practice location
521 Fellowship Rd Ste 155
Mount Laurel, NJ 08054-3442
Mailing address
521 Fellowship Rd Ste 155
Mount Laurel, NJ 08054-3442
Phone (856) 439-6772
Other names 1
- Project Walk New Jersey
National Provider Directory
National Provider DirectoryLocations
521 Fellowship Rd
Ste 155
Mount Laurel, NJ 08054
Phone (856) 439-6772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1033696703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FELLOWSHIP RD STE 155",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543442",
"telephone_number": "856-439-6772",
"fax_number": "856-206-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 FELLOWSHIP RD STE 155",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543442",
"telephone_number": "856-439-6772",
"fax_number": "856-206-0519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LD RECOVERY SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "856-439-6772"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Project Walk New Jersey",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.