Organization Active NPI

Meghan Murphy Schmelzer Caruso, DO, L.L.C.

  • Procedural Dermatology Physician
  • Marlton, NJ
National Provider Identifier
1730450040
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
25MB06858000 Issued in NJ
Legal business name
MEGHAN MURPHY SCHMELZER CARUSO, DO, L.L.C.
Practice address
9002 Lincoln Dr W Ste D
Suite D
Marlton, NJ 08053-3204
Phone
(856) 983-4646
Fax
(856) 983-4760
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Marie E Ackerman, RN
Title
RN
Phone
(856) 983-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 25MB06858000 NJ Primary

Addresses

Primary practice location

9002 Lincoln Dr W Ste D
Suite D
Marlton, NJ 08053-3204

Mailing address

9002 Lincoln Dr W Ste D
Suite D
Marlton, NJ 08053-3204
Phone (856) 983-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000492 NJ Part B Supplier - Clinic/Group Practice 5890953434 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

875 Route 73 N
Ste D
Marlton, NJ 08053
Phone (856) 983-4646

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1730450040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 LINCOLN DR W STE D",
            "address_2": "SUITE D",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533204",
            "telephone_number": "856-983-4646",
            "fax_number": "856-983-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 LINCOLN DR W STE D",
            "address_2": "SUITE D",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533204",
            "telephone_number": "856-983-4646",
            "fax_number": "856-983-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHAN MURPHY SCHMELZER CARUSO, DO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "856-983-4646",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MB06858000",
            "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 Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.