Active NPI
Marc Todd Harris
- Specialist
- Cherry Hill, NJ
National Provider Identifier
1225263346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 332BC3200X
- Practice address
- 348 Chanticleer
Cherry Hill, NJ 08003 - Phone
- (856) 751-8460
- Fax
- (609) 482-8098
- NPI assigned
- May 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 332BC3200X | NJ | Primary |
Addresses
Primary practice location
348 Chanticleer
Cherry Hill, NJ 08003
Mailing address
348 Chanticleer
Cherry Hill, NJ 08003-4826
Phone (856) 751-8460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332BC3200X | NJ | MD | Customized Equipment (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1225263346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 CHANTICLEER",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034826",
"telephone_number": "856-751-8460",
"fax_number": "609-482-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 CHANTICLEER",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-751-8460",
"fax_number": "609-482-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARC",
"middle_name": "TODD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "332BC3200X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.