NPIMap

Organization Active NPI

New Jersey Lice Treatment LLC

  • Other Technician
  • Mount Laurel, NJ
National Provider Identifier
1104356823
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
NEW JERSEY LICE TREATMENT LLC
Practice address
503 Birchfield Dr # 503a
Mount Laurel, NJ 08054-4009
Phone
(856) 334-2589
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
Kevin Croy
Title
Member
Phone
(215) 301-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

503 Birchfield Dr # 503a
Mount Laurel, NJ 08054-4009

Mailing address

749 Arden Rd
Jenkintown, PA 19046-1524

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Lice Treatment LLC2 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.

Locations

503 Birchfield Dr
#503A
Mount Laurel, NJ 08054
Phone (856) 334-2589

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1104356823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 ARDEN RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BIRCHFIELD DR # 503A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544009",
            "telephone_number": "856-334-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY LICE TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "CROY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-301-5181"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.