Charles Short

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2003 Lincoln Dr W Ste C
Marlton, NJ 08053-1529

Phone

(856) 596-8007

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1437569589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ESTATES RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216512",
            "telephone_number": "856-669-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-596-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise M Shira, CCC-SLP
• Sandra A Shivers, LMT
• Shor Medical Associates, LLC
• Daniel Shor, DO
• Shore Imaging Associates Marlton LLC (STAT Imaging at Marlton)
• Kavita Sherpa Shrestha, NURSE PRACTITIONER
• Heather Mae Shultz, D. AC.
• Anna Shvartsman
• Mahbubur Siddique, MD
• John I. Siekierka, DO

• Addiction (Substance Use Disorder) Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.