Prestige of Marlton Amdc LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRESTIGE OF MARLTON AMDC LLC

Practice address

14000 Sagemore Dr
Marlton, NJ 08053-3952

Phone

(917) 951-3150

NPI assigned

Aug 15, 2018

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac Felsenburg

Title

Cfo

Phone

(856) 414-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1073093506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HADDONFIELD RD STE 312",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024802",
            "telephone_number": "732-552-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 SAGEMORE DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533952",
            "telephone_number": "917-951-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE OF MARLTON AMDC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "FELSENBURG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-414-9400"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Howard L. Press, DO
• Letitia Price, M.D.
• Christine Ann Priest I, PHYSICIAN ASSISTANT
• Prime Dental Center of Marlton
• Primeneurophysiology LLC (Premier Neurophysiologist)
• Princeton Brain & Spine, LLC

• Adult Day Care Clinic/Center in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.