Organization Active NPI

Lice Lifters Marlton NJ

  • Health Service Clinic/Center
  • Marlton, NJ
National Provider Identifier
1740533090
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LICE LIFTERS MARLTON NJ
Practice address
4001 Lincoln Dr W
Suite H
Marlton, NJ 08053-1525
Phone
(856) 334-5591
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Matthew Buber
Title
President
Phone
(856) 334-5591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4001 Lincoln Dr W
Suite H
Marlton, NJ 08053-1525

Mailing address

4001 Lincoln Dr W
Suite H
Marlton, NJ 08053-1525
Phone (856) 334-5591

National Provider Directory

National Provider Directory

Locations

4001 Lincoln Dr W
Ste H
Marlton, NJ 08053
Phone (856) 334-5591

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1740533090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LINCOLN DR W",
            "address_2": "SUITE H",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531525",
            "telephone_number": "856-334-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LINCOLN DR W",
            "address_2": "SUITE H",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531525",
            "telephone_number": "856-334-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE LIFTERS MARLTON NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BUBER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-334-5591"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "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 Oct 24, 2012; 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.