Active NPI
Meadowview
- Skilled Nursing Facility
- Mount Laurel, NJ
National Provider Identifier
1407972136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060808
- Legal business name
- MEADOWVIEW
- Practice address
- 525 Fellowship Rd
Suite 360
Mount Laurel, NJ 08054-3415 - Phone
- (856) 813-2000
- Fax
- (856) 813-2020
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tramell C Clark
- Title
- Regional Resident Accounting MGR
- Phone
- (856) 813-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060808 | NJ | Primary |
Addresses
Primary practice location
525 Fellowship Rd
Suite 360
Mount Laurel, NJ 08054-3415
Mailing address
525 Fellowship Rd
Suite 360
Mount Laurel, NJ 08054-3415
Phone (856) 813-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4478002 | Medicaid | NJ | |
| 4478606 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
525 Fellowship Rd
Ste 360
Mount Laurel, NJ 08054
Phone (856) 813-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187049600000",
"number": "1407972136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 FELLOWSHIP RD",
"address_2": "SUITE 360",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543415",
"telephone_number": "856-813-2000",
"fax_number": "856-813-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 FELLOWSHIP RD",
"address_2": "SUITE 360",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543415",
"telephone_number": "856-813-2000",
"fax_number": "856-813-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWVIEW",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2007-08-14",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TRAMELL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "REGIONAL RESIDENT ACCOUNTING MGR",
"authorized_official_telephone_number": "856-813-2000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4478002",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4478606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.