NPIMap

Organization Active NPI

St Remi LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
National Provider Identifier
1689240483
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ST REMI LLC
Practice address
750 Route 73 S Ste 105a
Marlton, NJ 08053-4142
Phone
(856) 282-5566
Fax
(856) 396-9917
NPI assigned
Jun 2, 2021
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Isiaka A Bolarinwa, MDNPI 1467403196
Title
President/ Medical Director
Phone
(856) 282-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

750 Route 73 S Ste 105a
Marlton, NJ 08053-4142

Mailing address

750 Route 73 S Ste 105a
Marlton, NJ 08053-4142
Phone (856) 282-5566

National Provider Directory

National Provider Directory
Tax ID family
St Remi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1689240483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S STE 105A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534142",
            "telephone_number": "856-282-5566",
            "fax_number": "856-396-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S STE 105A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534142",
            "telephone_number": "856-282-5566",
            "fax_number": "856-396-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST REMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "BOLARINWA",
        "authorized_official_first_name": "ISIAKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-282-5566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "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 May 25, 2023; 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.