Active NPI
Persante Continuing Care Inc
- Durable Medical Equipment & Medical Supplies
- Mount Laurel, NJ
National Provider Identifier
1245297563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- PERSANTE HEALTH CARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2477602 | Medicaid | NJ |
Other names 1
- BLACKWOOD MEDICAL INC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Marlton, NJ
- NPI 1902928435
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.