Wenonah Medical Associates, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WENONAH MEDICAL ASSOCIATES, P.A.

Practice address

107 E Mantua Ave
Wenonah, NJ 08090-1950

Phone

(856) 468-6868

Fax

(856) 464-1855

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alken, M.D.

Title

President

Phone

(856) 468-6868

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 3

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

• Sean Michael Goudsward, D.O.

  • Family Medicine Physician
  • Hammonton, NJ
  • NPI 1114972999
  NPD (past)
• Lisa Kunkle, PA-C

  • Medical Physician Assistant
  • Wenonah, NJ
  • NPI 1568494797
  NPD (past)
• Michael Curt Lafon, M.D.

  • Family Medicine Physician
  • Haddonfield, NJ
  • NPI 1609168715
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1629037882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MANTUA AVE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901950",
            "telephone_number": "856-468-6868",
            "fax_number": "856-464-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MANTUA AVE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901950",
            "telephone_number": "856-468-6868",
            "fax_number": "856-464-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENONAH MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "ALKEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-468-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2793407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann M Thomas
• John K. Todd, MA, LCADC
• Jennifer Amaris Torres, CPM
• Twin Cedars Inc.
• Reena Varghese, PHARMD
• West Deptford Animal Hospital
• Eliza White, RN, CPNP
• Edmund Wilkinson, D.O.
• Willowglen Academy-New Jersey, Inc.
• Woodbury Dental Associates PA

• Family Medicine Physician in Wenonah, NJ
• Providers in Wenonah, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.