NPIMap

Organization Active NPI

TPS IV of PA., LLC

  • Durable Medical Equipment & Medical Supplies
  • Marlton, NJ
National Provider Identifier
1053630368
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TPS IV OF PA., LLC
Practice address
1300 Lincoln Dr. West Ste 301
4 Greentree Center
Marlton, NJ 08053-3408
Phone
(856) 396-0940
Fax
(856) 396-0127
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. John Holland
Title
SVP Regional Operations, Tenet
Phone
(469) 893-6193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1300 Lincoln Dr. West Ste 301
4 Greentree Center
Marlton, NJ 08053-3408

Mailing address

PO Box 827965
Philadelphia, PA 19182-7965
Phone (856) 396-0940

Other names 1

  • University Orthopaedic Institute Doing business as

National Provider Directory

National Provider Directory

Locations

301 Route 73 S
Fl 3
Marlton, NJ 08053
Phone (856) 396-0940

2 Capital Way
Ste 380
Pennington, NJ 08534
Phone (609) 537-5000

2601 Holme Ave
#201
Philadelphia, PA 19152
Phone (215) 557-7227

500 W Germantown Pike
Unit 1
Plymouth Meeting, PA 19462
Phone (215) 762-3333

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1053630368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827965",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827965",
            "telephone_number": "856-396-0940",
            "fax_number": "856-396-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LINCOLN DR. WEST STE 301",
            "address_2": "4 GREENTREE CENTER",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533408",
            "telephone_number": "856-396-0940",
            "fax_number": "856-396-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS IV OF PA., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "469-893-6193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.