Active NPI
Mark Griffin
- Physical Medicine & Rehabilitation Physician
- Marlton, NJ
National Provider Identifier
1669998167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40QA01739300
- Practice address
- 500 Lippincott Dr
Marlton, NJ 08053-4802 - Phone
- (856) 334-4100
- Fax
- (856) 334-4015
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA01739300 | NJ | Primary |
Addresses
Primary practice location
500 Lippincott Dr
Marlton, NJ 08053-4802
Mailing address
224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1669998167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 STRAWBRIDGE DR STE 100",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574602",
"telephone_number": "856-677-4000",
"fax_number": "856-234-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534802",
"telephone_number": "856-334-4100",
"fax_number": "856-334-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "40QA01739300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.