Individual provider Active NPI

Yorleni Mayorga

  • Medical Art Specialist/Technologist
  • Haddonfield, NJ
National Provider Identifier
1467127134
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
Practice address
25 E Redman Ave
Haddonfield, NJ 08033-2314
Phone
(856) 433-2100
NPI assigned
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X PA
Medical Art Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZA2600X PA Primary

Addresses

Primary practice location

25 E Redman Ave
Haddonfield, NJ 08033-2314

Mailing address

25 E Redman Ave
Haddonfield, NJ 08033-2314
Phone (856) 433-2100

Other identifiers 1

IdentifierTypeStateIssuer
246Z00000XOtherPAOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@thecharmedstudios.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1467127134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-433-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332314",
            "telephone_number": "856-433-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "YORLENI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "246Z00000X",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@thecharmedstudios.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 E Redman Ave",
            "city": "Haddonfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080332314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.