NPIMap

Organization Active NPI

Neurological Management Group, Inc

Doing business as The Wellness Center

  • Point of Service
  • Haddon Township, NJ
National Provider Identifier
1659302750
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
25MB07214800 Issued in NJ
Legal business name
NEUROLOGICAL MANAGEMENT GROUP, INC
Doing business as
The Wellness Center
Practice address
55 E Cuthbert Blvd
Haddon Township, NJ 08108-2021
Phone
(856) 275-7688
Fax
(856) 833-1154
NPI assigned
Jul 6, 2006
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Sean Tomar Hubbard, D.ONPI 1598779670
Title
Specialist
Phone
(856) 275-7688

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 25MA07709400 NJ
Point of Service 305S00000X 25MB07214800 NJ Primary

Addresses

Primary practice location

55 E Cuthbert Blvd
Haddon Township, NJ 08108-2021

Mailing address

55 E Cuthbert Blvd
Haddon Township, NJ 08108-2021
Phone (856) 275-7688

Other names 1

  • The Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1659302750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CUTHBERT BLVD",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082021",
            "telephone_number": "856-275-7688",
            "fax_number": "856-833-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CUTHBERT BLVD",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082021",
            "telephone_number": "856-275-7688",
            "fax_number": "856-833-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL MANAGEMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "TOMAR",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "856-275-7688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MA07709400",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MB07214800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.