Active NPI
Mindwave Diagnostics
- Multi-Specialty Clinic/Center
- Marlton, NJ
National Provider Identifier
1740142025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MINDWAVE DIAGNOSTICS
- Practice address
- 771 Route 70 E Ste D125
Marlton, NJ 08053-2352 - Phone
- (609) 284-5533
- NPI assigned
- Nov 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Darling
- Title
- Ceo
- Phone
- (609) 284-5533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
771 Route 70 E Ste D125
Marlton, NJ 08053-2352
Mailing address
771 Route 70 E Ste D125
Marlton, NJ 08053-2352
Phone (609) 284-5533
National Provider Directory
National Provider DirectoryLocations
771 Route 70 E
Ste D125
Marlton, NJ 08053
Phone (609) 284-5533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764028800000",
"number": "1740142025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 ROUTE 70 E STE D125",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532352",
"telephone_number": "609-284-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 ROUTE 70 E STE D125",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532352",
"telephone_number": "609-284-5533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDWAVE DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A",
"authorized_official_last_name": "DARLING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-284-5533"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
- Scott L Miller, M.D.
- Mind Your Mental Health Services LLC
- Mindful Health Tbi Center Inc
- Mindful Living Counseling and Consulting
- Mindful Therapy Center, LLC (Mindful Therapy)
- Raema Mir, M.D.
- John C. Mirmanesh, M.D.
- Shahin Michael Mirmanesh, M.D.
- Shahram Jay Mirmanesh, MD, MBA
- Shapour Steve Mirmanesh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.