Mid-Atlantic States Career and Education Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MID-ATLANTIC STATES CAREER AND EDUCATION CENTER

Practice address

111 S Broadway
Pennsville, NJ 08070-2038

Phone

(856) 514-2200

Fax

(856) 514-2201

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Glen Donelson

Title

President/Ceo

Phone

(856) 514-2200

Specialties & licenses 1

Addresses

Tax ID family

Mid-Atlantic States Career and Education Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Atlantic States Career and Education Center

  • Case Management Agency
  • Pennsville, NJ
  • NPI 1497379986
  NPD tax ID

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1053862938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702038",
            "telephone_number": "856-514-2200",
            "fax_number": "856-514-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702038",
            "telephone_number": "856-514-2200",
            "fax_number": "856-514-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC STATES CAREER AND EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DONELSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-514-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Mazzuca Jr., D.O.
• Bridgett Elizabeth McCaffery O'Brien
• John C McKenzie, PT
• Medexpress Urgent Care - New Jersey, Inc
• Elizabeth Mesogianes, MT-BC
• Mid-Atlantic States Career and Education Center
• Mitchell Bober, D.O.
• Margaret A Moloney, APN
• Rory Moran
• Megan Marie Morsello, FNP-C

• Community/Behavioral Health Agency in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.