South Jersey Geriatric Care, PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOUTH JERSEY GERIATRIC CARE, PC

Practice address

61 Kresson Rd FL 2
Cherry Hill, NJ 08034-3228

Phone

(856) 429-3494

Fax

(856) 229-7683

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lori A Heberley, LPCNPI 1053080515

Title

President

Phone

(856) 429-3494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Lori Anne Heberley, LPC

  • Professional Counselor
  • Cherry Hill, NJ
  • NPI 1053080515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1154186294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 KRESSON RD FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343228",
            "telephone_number": "856-429-3494",
            "fax_number": "856-229-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 KRESSON RD FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343228",
            "telephone_number": "856-429-3494",
            "fax_number": "856-229-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY GERIATRIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "HEBERLEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-429-3494",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Dental Studio LLC
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• South Jersey Family Dental LLC
• South Jersey Health & Wellness
• South Jersey Health & Wellness Center
• South Jersey Heart Group, PC
• South Jersey Imaging Associates Inc
• South Jersey Plastic Surgery

• Adult Mental Health Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.