Organization Active NPI

Marlton Medical Group, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1245397645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARLTON MEDICAL GROUP, P.C.
Practice address
1305 Kings Hwy N
Suite 4
Cherry Hill, NJ 08034-1919
Phone
(856) 429-3862
Fax
(856) 429-3826
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yelena Y. Shrayber, D.O.
Title
Owner
Phone
(856) 429-3862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NJ Primary

Addresses

Primary practice location

1305 Kings Hwy N
Suite 4
Cherry Hill, NJ 08034-1919

Mailing address

1305 Kings Hwy N
Suite 4
Cherry Hill, NJ 08034-1919
Phone (856) 429-3862

National Provider Directory

National Provider Directory

Locations

1305 Kings Hwy N
Ste 4
Cherry Hill, NJ 08034
Phone (856) 354-0069

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245397645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-429-3862",
            "fax_number": "856-429-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-429-3862",
            "fax_number": "856-429-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLTON MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRAYBER",
        "authorized_official_first_name": "YELENA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-429-3862",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "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 Aug 22, 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.