Organization 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
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
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

Updated by the provider on Jul 25, 2018

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)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.