Individual provider Active NPI

Sherri Anne Subramani

  • Behavior Technician
  • Burlington, NJ
National Provider Identifier
1558832923
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-72780 Issued in NJ
Practice address
1900 Burlington Mount Holly Rd
Burlington, NJ 08016-4722
Phone
(609) 614-7495
Fax
(609) 614-7562
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-72780 NJ Primary

Addresses

Primary practice location

1900 Burlington Mount Holly Rd
Burlington, NJ 08016-4722

Mailing address

1900 Burlington Mount Holly Rd Ste 2a
Burlington, NJ 08016-4723
Phone (609) 614-7495

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

State licenses

LicenseStateTypeSpecialty
18-72780NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1558832923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE 2A",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164723",
            "telephone_number": "609-614-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "609-614-7495",
            "fax_number": "609-614-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANI",
        "first_name": "SHERRI",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "18-72780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.