Mordecai & Caravello Wellness, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MORDECAI & CARAVELLO WELLNESS, LLC

Practice address

1401 Marlton Pike E Ste 14
Cherry Hill, NJ 08034-2207

Phone

(609) 932-5299

NPI assigned

Jul 19, 2019

Last updated

Jul 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew B Caravello, DONPI 1699973776

Title

Owner

Phone

(609) 932-5299

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Benedetto Caravello, D.O

  • Internal Medicine Physician
  • Stratford, NJ
  • NPI 1699973776
  NPD Authorized official
• Edward P. Chow, PA

  • Physician Assistant
  • Cherry Hill, NJ
  • NPI 1073554507
  NPD (past)
• Andrew Ecker

  • Nurse Practitioner
  • Marlton, NJ
  • NPI 1104372606
  NPD (past)
• Nicholas H Lord, PA-C

  • Physician Assistant
  • Cherry Hill, NJ
  • NPI 1013510767
  NPD (past)
• Zachary H Kim, PA

  • Physician Assistant
  • Sellersville, PA
  • NPI 1346817848
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1407409360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAGNOLIA CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558181",
            "telephone_number": "609-932-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE E STE 14",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "609-932-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORDECAI & CARAVELLO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "CARAVELLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-932-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Moore, PT
• Nahema Moore
• Shanda Moore, APN
• Nicole Morales, OT
• Zachary Morales
• Rebecca Florence Moreland, DPT, PT
• Mary Jo Morett, RDA
• Farah Hena Morgan, MD
• Hannah Christine Morgan, DPT
• Joseph N. Morgan, MD

• Multi-Specialty Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.