Mullica Hill Advanced Therapies

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

Legal business name

MULLICA HILL ADVANCED THERAPIES

Practice address

507 Mullica Hill Rd
Mullica Hill, NJ 08062-2665

Phone

(856) 362-4819

Fax

(856) 230-7171

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Richard Pescatore, DO

Title

Medical Director

Phone

(856) 305-3863

Specialties & licenses 3

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: info@mhadvancedtherapies.com

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1255985677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622665",
            "telephone_number": "856-362-4819",
            "fax_number": "856-230-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLICA HILL ADVANCED THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "PESCATORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-305-3863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@MHAdvancedTherapies.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice Email Address",
            "address_1": "507 Mullica Hill Rd",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasper Mok, MD
• Ronald Carl Moore III
• Rodney Morrison Jr.
• Sweta Mukhopadhyay, DO
• Mullica Gardens Assisted Living
• Mullica Hill Anesthesia
• Mullica Hill Chiropractic
• Mullica Hill Family Dental, LLC
• Mullica Hill Family Eyecare LLC
• Mullica Hill Medical Associates PC

• Psychosomatic Medicine Physician in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Psychosomatic Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.