NPIMap

Organization Active NPI

Phoenix Associates LLC

Doing business as Tomorrow's Wellness Center

  • General Practice Physician
  • Northfield, NJ
National Provider Identifier
1619255288
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MB04215800 Issued in NJ
Legal business name
PHOENIX ASSOCIATES LLC
Doing business as
Tomorrow's Wellness Center
Practice address
1601 Tilton Rd
Suite 4
Northfield, NJ 08225-1877
Phone
(609) 407-1119
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SCOTT HERNBERGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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.NPI 1538164009
Title
Medical Director
Phone
(609) 407-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 25MB04215800 NJ Primary

Addresses

Primary practice location

1601 Tilton Rd
Suite 4
Northfield, NJ 08225-1877

Mailing address

1601 Tilton Rd
Suite 4
Northfield, NJ 08225-1877
Phone (609) 407-1119

Other names 1

  • TOMORROW'S WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • 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.