Spread Med

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SPREAD MED

Practice address

9 Cindy LN
Marmora, NJ 08223-1169

Phone

(609) 536-9864

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Keller Jr., DONPI 1013437789

Title

Owner

Phone

(207) 929-0576

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Walter Keller Jr., DO

  • Family Medicine Physician
  • Marmora, NJ
  • NPI 1013437789
  NPD Authorized official

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1487324034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CINDY LN",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CINDY LN",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231169",
            "telephone_number": "609-536-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPREAD MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-929-0576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skills for Life
• Amy Smith, RPH
• Maureen E Snyder, A.P.N.
• Miriam Soler Nichols
• Tiffany N Spoltore, DPT
• Sweet Serenity Counseling Services
• John Richard Thomas III III, MSPT
• Jennifer L Twardzik, DO
• Laura Kathleen Verzi-Aleszczyk, MA, BCBA
• Village Super Market of NJ LP

• Community Health Clinic/Center in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.