Supreme Body Training

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

SUPREME BODY TRAINING

Practice address

460 Greentree Rd BLDG 1
Sewell, NJ 08080-9328

Phone

(856) 434-7265

NPI assigned

Sep 18, 2026

Organization subpart

No

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

Authorized official

Name

Mark Samuels

Title

Owner

Phone

(856) 434-7265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1356253033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GREENTREE RD BLDG 1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GREENTREE RD BLDG 1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809328",
            "telephone_number": "856-434-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME BODY TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-434-7265"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Stern, APN-C
• Steven J Valentino DO NJ PC
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• Deborah Stump, M.S,, R.D., C.D.E.
• Sundance Rehabilitation LLC
• Supreme Therapeutic Services LLC
• Dawn Diane Swiderski, RN,IBCLC
• John Szigethy III, DPT
• Juliana Tacardon, DNP FNP-C
• Hassan Tahir

• Health & Wellness Coach in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Health & Wellness Coach in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.