Organization Active NPI

Fubei LLC

Doing business as Wonderland Spa

  • Massage Therapist
  • Cherry Hill, NJ
National Provider Identifier
1225652886
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FUBEI LLC
Doing business as
Wonderland Spa
Practice address
1900 Greentree Rd Ste 19
Cherry Hill, NJ 08003-2023
Phone
(856) 424-2518
NPI assigned
May 29, 2020
Last updated
Jun 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Authorized official

Name
Mr. Enoch Wang, LMTNPI 1649895806
Title
Manager
Phone
(856) 424-2518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

1900 Greentree Rd Ste 19
Cherry Hill, NJ 08003-2023

Mailing address

64 Sullivan Way
Marlton, NJ 08053-5322

Other names 1

  • Wonderland Spa Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Greentree Rd
Ste 19
Cherry Hill, NJ 08003
Phone (856) 424-2518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1225652886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SULLIVAN WAY",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GREENTREE RD STE 19",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032023",
            "telephone_number": "856-424-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUBEI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-424-2518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderland Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 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.