Moss Achievement Center, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT40QA00500500 Issued in NJ

Legal business name

MOSS ACHIEVEMENT CENTER, LLC

Practice address

25 Adler Cir
Lumberton, NJ 08048-4501

Phone

(609) 220-9023

Fax

(856) 234-9100

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Jacqueline Moss, B.S.P.P.

Title

Managing Member

Phone

(609) 220-9023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1730344490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADLER CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484501",
            "telephone_number": "609-220-9023",
            "fax_number": "856-234-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADLER CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484501",
            "telephone_number": "609-220-9023",
            "fax_number": "856-234-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS ACHIEVEMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-220-9023",
        "authorized_official_credential": "B.S.P.P."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "PT40QA00500500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Lumberton, NJ
• Providers in Lumberton, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.