Mediversity Health at Turnersville

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA07774900 Issued in NJ

Legal business name

MEDIVERSITY HEALTH AT TURNERSVILLE

Practice address

4991 Route 42
Suite 8
Turnersville, NJ 08012-1750

Phone

(609) 703-5097

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Matt Legowski

Title

Operations

Phone

(609) 703-5097

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ahsan A Abdulghani, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Turnersville, NJ
  • NPI 1881670891
  NPD

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1063862548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 ROUTE 42",
            "address_2": "SUITE 8",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 ROUTE 42",
            "address_2": "SUITE 8",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121750",
            "telephone_number": "609-703-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVERSITY HEALTH AT TURNERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "609-703-5097"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA07774900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinney Teaching PC
• Timothy B McKinney, MD
• Donald James McMahon, D.O.
• Kamelia Elizabeth McRae, M.D.
• Sonia I Medina, MD
• Maya Meerson, MD
• Sandra Melloni, RN
• Melody Now Enterprises
• Kumaol Mengesha, MD
• Alyssa Meo, MA, LPC

• Non-Pharmacy Dispensing Site in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.