Laurel Evaluations

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

LAUREL EVALUATIONS

Practice address

523 Fellowship Rd
Suite 275
Mount Laurel, NJ 08054-3414

Phone

(856) 235-7666

Fax

(856) 222-0427

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Charles Peacock, M.D.NPI 1508388257

Title

President

Phone

(856) 235-7666

Specialties & licenses 1

Addresses

Other names 1

• Laurel Orthopedic Evaluations Former legal business name

Locations

Practitioners 1

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

• Kenneth Charles Peacock, MD

  • Orthopaedic Surgery Physician
  • Mount Laurel, NJ
  • NPI 1508388257
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1346361128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD",
            "address_2": "SUITE 275",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-235-7666",
            "fax_number": "856-222-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD",
            "address_2": "SUITE 275",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-235-7666",
            "fax_number": "856-222-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL EVALUATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-235-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Orthopedic Evaluations",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Larchmont Pharmacy LTC
• Joyce Marie Larkin, MD
• Alexandria Larson, BCBA
• Tova Larson, PA
• Laurel Brook Operator LLC (Laurel Brook Rehabilitation and Healthcare Center)
• Laurel Light LLC. (Laurel Healing Center)
• Michela Ann Lauricella, LCSW
• Tara Lee Lautenslager, M.D.
• Veronica Lawless, DO, MPH
• Linda Lazar, MSN RN CS

• Legal Medicine in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.