Organization Active NPI

Persante Continuing Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Mount Laurel, NJ
National Provider Identifier
1245297563
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERSANTE CONTINUING CARE INC
Practice address
130 Gaither Dr
Ste 136
Mt Laurel, NJ 08054-1715
Phone
(856) 793-1557
Fax
(888) 227-9009
NPI assigned
Apr 28, 2006
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PERSANTE HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mr. John Murray
Title
Vice-President
Phone
(856) 793-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

130 Gaither Dr
Ste 136
Mt Laurel, NJ 08054-1715

Mailing address

130 Gaither Dr
Ste 136
Mt Laurel, NJ 08054-1715
Phone (856) 793-1557

Other identifiers 1

IdentifierTypeStateIssuer
2477602MedicaidNJ

Other names 1

  • BLACKWOOD MEDICAL INC Former legal business name

National Provider Directory

National Provider Directory

Locations

130 Gaither Dr
Ste 136
Mount Laurel, NJ 08054
Phone (609) 722-1001

Practitioners & affiliated clinicians

Practitioners 1

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1245297563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR",
            "address_2": "STE 136",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "080541715",
            "telephone_number": "856-793-1557",
            "fax_number": "888-227-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR",
            "address_2": "STE 136",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "080541715",
            "telephone_number": "856-793-1557",
            "fax_number": "888-227-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSANTE CONTINUING CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSANTE HEALTH CARE",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "856-793-1557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2477602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACKWOOD MEDICAL INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.