Phoenix Associates LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MB04215800 Issued in NJ

Legal business name

PHOENIX ASSOCIATES LLC

Practice address

1601 Tilton Rd
Suite 4
Northfield, NJ 08225-1877

Phone

(609) 407-1119

NPI assigned

Jul 29, 2011

Organization subpart

Yes

Parent organization

SCOTT HERNBERGAs reported in NPPES

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

Authorized official

Name

Dr. Scott Alan Hernberg, D.O.

Title

Medical Director

Phone

(609) 407-1119

Specialties & licenses 1

Addresses

Other names 1

• TOMORROW'S WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1619255288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TILTON RD",
            "address_2": "SUITE 4",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251877",
            "telephone_number": "609-407-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TILTON RD",
            "address_2": "SUITE 4",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251877",
            "telephone_number": "609-407-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT HERNBERG",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "HERNBERG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-407-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB04215800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOMORROW'S WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ada Peraino, RPH
• Ulices Alquimedes Perez Feliz, MD
• Natalia Persia
• Nicholas John Persia, DPT
• Shelby Petrella, PT, DPT
• Physicians Choice Dialysis of Northfield LLC
• Jennifer Anne Pierpoint, OTR/L
• Danielle Piscal
• Platinum Providers Group LLC
• Jackson Pokres, PMHNP -BC

• General Practice Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.