Organization Active NPI

Silver Continence Care - NJ, LLC

  • Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1063644607
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SILVER CONTINENCE CARE - NJ, LLC
Practice address
10000 Lincoln Dr E
Suite 201
Marlton, NJ 08053-3105
Phone
(856) 988-5508
NPI assigned
Aug 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Frazer Buntin
Title
President & Ceo
Phone
(615) 300-6892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

10000 Lincoln Dr E
Suite 201
Marlton, NJ 08053-3105

Mailing address

10000 Lincoln Dr E
Suite 201
Marlton, NJ 08053-3105
Phone (856) 988-5508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1063644607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E",
            "address_2": "SUITE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "856-988-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E",
            "address_2": "SUITE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "856-988-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CONTINENCE CARE - NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-16",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "FRAZER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-300-6892"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2012; 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.