Gilliss Family Care,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

25MB05998100 Issued in NJ

Legal business name

GILLISS FAMILY CARE,LLC

Practice address

27 E Chestnut Ave
Merchantville, NJ 08109-2504

Phone

(609) 230-9282

NPI assigned

Aug 20, 2012

Organization subpart

No

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

Authorized official

Name

Adam C Gilliss, D.O.

Title

Doctor

Phone

(609) 230-9282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1215285440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E CHESTNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092504",
            "telephone_number": "609-230-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E CHESTNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092504",
            "telephone_number": "609-230-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLISS FAMILY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "GILLISS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-230-9282",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MB05998100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Connections Home Health Care
• Dr. Keith Radbill Pain Management, LLC
• Cheryl C Dunican-Hein, L.C.S.W.
• Annie Nicole Fisher, LCSW
• Keely Fruin
• Adam C. Gilliss, D.O.
• Christine Gilliss, MA, CCC-SLP
• Bruce D Gooberman, MD
• Lance L Gooberman, M.D.
• Gregory Hample

• Health Service Clinic/Center in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.