Organization Active NPI

Moorestown Integrative Wellness Inc.

  • Health Psychologist
  • Moorestown, NJ
National Provider Identifier
1336746189
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
MOORESTOWN INTEGRATIVE WELLNESS INC.
Practice address
505 S Lenola Rd Ste 210
Moorestown, NJ 08057-1549
Phone
(732) 404-7323
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. Angela L Kurzyna, PSYDNPI 1982085114
Title
Director/ Health Psychologist
Phone
(732) 404-7323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

505 S Lenola Rd Ste 210
Moorestown, NJ 08057-1549

Mailing address

8 Wilkins Station Rd
Medford, NJ 08055-9659
Phone (732) 404-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107000506 NJ Part B Supplier - Clinic/Group Practice 1153712823 Receives reassigned benefits from 3 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

505 S Lenola Rd
Ste 210
Moorestown, NJ 08057
Phone (732) 404-7323

Practitioners & affiliated clinicians

Practitioners 4

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": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1336746189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILKINS STATION RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559659",
            "telephone_number": "732-404-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S LENOLA RD STE 210",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571549",
            "telephone_number": "732-404-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESTOWN INTEGRATIVE WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "KURZYNA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/ HEALTH PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-404-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.