Ericson Support Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ERICSON SUPPORT SERVICES LLC

Practice address

11 La Gorce Blvd
Burlington, NJ 08016-2903

Phone

(609) 510-7509

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Lisa M Borbor, BA

Title

Executive Director

Phone

(609) 510-7509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1316443567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LA GORCE BLVD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162903",
            "telephone_number": "609-510-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LA GORCE BLVD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162903",
            "telephone_number": "609-510-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICSON SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "BORBOR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-510-7509",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwa Mahmoud Mohamed Eltawil, MD
• Fidelia Emesue
• Employment Network Team of New Jersey
• Endeavor Emergency Squad, Inc
• Davita Michelle Ennals, CNA
• Es Pharmacy
• Emmanuel Alcantara Estacio, LCSW
• Jeanishka Excellent, PT, DPT
• Express Scripts Pharmacy Inc
• Eye Key Retina Center LLC

• Case Management Agency in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.