Coker D Taylor III

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Practice address

48 Normandy LN
Willingboro, NJ 08046-1308

Phone

(609) 456-1449

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everyday Lives

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Somerdale, NJ
  • NPI 1225655046
  NPD Authorized official
• New Beginning Support Coordination

  • Developmental Disabilities Clinic/Center
  • Somerdale, NJ
  • NPI 1164132304
  NPD Authorized official
• New Beginning Support Coordination

  • Supports Brokerage Agency
  • Willingboro, NJ
  • NPI 1942775309
  NPD Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1235616608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NORMANDY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461308",
            "telephone_number": "609-456-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NORMANDY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461308",
            "telephone_number": "609-456-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COKER",
        "middle_name": "D",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Alicja Szostak, PHARMACIST
• T.H.R.I.V.E. Behavioral Health & Consulting, LLC
• Brian Duc Tang, PHARMD
• Amaris Xara Tangen, MSN, APRN, FNP-C
• Ben Tapper, DO
• Doreen Ann Taylor, CNA
• Steven Teague
• Ashleigh Nichole Tepper, WHNP-BC
• The Arc of Burlington County, Inc.
• The Arc of Burlington County, Inc.

• Supports Brokerage Agency in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.