Goodwill Industries of Southern New Jersey and Philadelphia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY AND PHILADELPHIA

Practice address

300 Benigno Blvd
Bellmawr, NJ 08031-2512

Phone

(609) 396-1513

Fax

(609) 396-1516

NPI assigned

Sep 23, 2013

Last updated

Sep 6, 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

Mr. Mark B Boyd

Title

President

Phone

(856) 439-0200

Specialties & licenses 1

Addresses

Other names 1

• Goodwill Home Medical Equipment (a subsidiary of) Other name

Tax ID family

Goodwill Home Medical Equipment a Subsidiary of2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries of Southern New Jersey and Philadelphia

  • Developmentally Disabled Services Day Training Agency
  • Maple Shade, NJ
  • NPI 1235576497
  NPD tax ID

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1417383431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 SUNFLOWER CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272102",
            "telephone_number": "954-384-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BENIGNO BLVD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312512",
            "telephone_number": "609-396-1513",
            "fax_number": "609-396-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY AND PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-439-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Home Medical Equipment (a subsidiary of)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Goodwill Home Medical Equipment (a subsidiary of)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Edward Foley, DC
• John Joseph Foley, D.C.
• Francis X Murray D.O.P.a.
• Glendale Primary Care LLC (Glendale Primary Care)
• Sharon Goldie, LPC
• Lyndsay Grega, RD
• Japria Health LLC
• Thomas Jeffers III
• Hetal C Kansagra, RPH
• Lora Kelly, PT, DPT

• Durable Medical Equipment & Medical Supplies in Bellmawr, NJ
• Providers in Bellmawr, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.