Jeffrey A Mullen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

773 Route 70 E Ste E100
Marlton, NJ 08053-2363

Phone

(856) 942-3700

Fax

(856) 452-5758

NPI assigned

Apr 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1154941862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 E STE E100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532363",
            "telephone_number": "856-942-3700",
            "fax_number": "856-452-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 E STE E100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532363",
            "telephone_number": "856-942-3700",
            "fax_number": "856-452-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phenita Sammantha Mouzon
• Marsha Moyer Payne, CRNA
• MSB Healthcare LLC
• Mudra Consulting LLC
• Patrick Mulhall, M.D.
• Phoebe Mullen
• Jenna Mullin, PA
• Andrew R Murphy, PA-C
• Ali M Mustafa
• Myoptics 2000 Inc.

• Peer Specialist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.