Active NPI
Pjo Health Services LLC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Mount Laurel, NJ
National Provider Identifier
1548880941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- PJO HEALTH SERVICES LLC
- Practice address
- 1200 S Church St Ste 3
Mount Laurel, NJ 08054-2936 - Phone
- (856) 359-4799
- Fax
- (856) 249-9068
- NPI assigned
- Apr 26, 2020
- 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
- Julietteosborne Osborne, FNP
- Title
- Ceo
- Phone
- (856) 356-4799
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1200 S Church St Ste 3
Mount Laurel, NJ 08054-2936
Mailing address
1200 S Church St Ste 3
Mount Laurel, NJ 08054-2936
Phone (856) 359-4799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691828 | Medicaid | NJ |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Admin@pjohealth.com | Health Information Exchange (HIE) | |
| CONNECT URL | Pjohealth.com | ||
| CONNECT URL | Adminpjohealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1200 S Church St
Ste 3
Mount Laurel, NJ 08054
Phone (856) 359-4799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Laurel, NJ
- NPI 1417513599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1548880941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S CHURCH ST STE 3",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542936",
"telephone_number": "856-359-4799",
"fax_number": "856-249-9068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CHURCH ST STE 3",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542936",
"telephone_number": "856-359-4799",
"fax_number": "856-249-9068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PJO HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-26",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "OSBORNE",
"authorized_official_first_name": "JULIETTEOSBORNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-356-4799",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691828",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Admin@pjohealth.com",
"affiliation": "N",
"endpointDescription": "Direct messaging",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 S Church St Ste 21B",
"city": "Mount Laurel",
"state": "NJ",
"country_code": "US",
"postal_code": "080542936",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pjohealth.com",
"affiliation": "N",
"address_1": "1200 S Church St Ste 3",
"city": "Mount Laurel",
"state": "NJ",
"country_code": "US",
"postal_code": "080542936",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Adminpjohealth.com",
"affiliation": "N",
"address_1": "1200 S Church St Ste 3",
"city": "Mount Laurel",
"state": "NJ",
"country_code": "US",
"postal_code": "080542936",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.