Organization Active NPI

Maple Health & Wellness Center, LLC

  • Chiropractor
  • Merchantville, NJ
National Provider Identifier
1154756591
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00480100 Issued in NJ
Legal business name
MAPLE HEALTH & WELLNESS CENTER, LLC
Practice address
602 W Maple Ave
Merchantville, NJ 08109-1820
Phone
(856) 486-4866
Fax
(856) 486-0952
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Miss Erika Pacheco
Title
Office Manager
Phone
(856) 486-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00480100 NJ Primary

Addresses

Primary practice location

602 W Maple Ave
Merchantville, NJ 08109-1820

Mailing address

602 W Maple Ave
Merchantville, NJ 08109-1820
Phone (856) 486-4866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1154756591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W MAPLE AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081091820",
            "telephone_number": "856-486-4866",
            "fax_number": "856-486-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W MAPLE AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081091820",
            "telephone_number": "856-486-4866",
            "fax_number": "856-486-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-486-4866",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00480100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.