Organization Active NPI

The Center for Neuropsychiatry, LLC

  • Specialist
  • Marlton, NJ
National Provider Identifier
1265487235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05196000 Issued in NJ
Legal business name
THE CENTER FOR NEUROPSYCHIATRY, LLC
Practice address
11009 Lincoln Dr W
Marlton, NJ 08053-3411
Phone
(856) 985-9851
Fax
(856) 985-9955
NPI assigned
May 24, 2006
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
Allen J Rubin, MD
Title
Medical Doctor
Phone
(856) 985-9851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA05196000 NJ Primary

Addresses

Primary practice location

11009 Lincoln Dr W
Marlton, NJ 08053-3411

Mailing address

11009 Lincoln Dr W
Marlton, NJ 08053-3411
Phone (856) 985-9851

National Provider Directory

National Provider Directory

Locations

751 Route 73 N
Ste 9
Marlton, NJ 08053
Phone (856) 985-9851

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265487235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533411",
            "telephone_number": "856-985-9851",
            "fax_number": "856-985-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533411",
            "telephone_number": "856-985-9851",
            "fax_number": "856-985-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR NEUROPSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "856-985-9851",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05196000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, 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.