Active NPI
Maria Elana Cardillo, LLC
- Adult Mental Health Clinic/Center
- Sewell, NJ
National Provider Identifier
1750891248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MARIA ELANA CARDILLO, LLC
- Practice address
- 5 Camelot PL Lot Office
Sewell, NJ 08080-2308 - Phone
- (856) 981-5045
- NPI assigned
- Oct 10, 2017
- 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
- Maria Elana Cardillo
- Title
- Owner
- Phone
- (856) 617-3552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
5 Camelot PL Lot Office
Sewell, NJ 08080-2308
Mailing address
PO Box 8739
Blackwood, NJ 08012-8739
Phone (856) 617-3552
National Provider Directory
National Provider DirectoryLocations
4151 Route 42
Ste 2
Turnersville, NJ 08012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Sewell, NJ
- NPI 1114273505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1750891248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8739",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080128739",
"telephone_number": "856-617-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CAMELOT PL LOT OFFICE",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802308",
"telephone_number": "856-981-5045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA ELANA CARDILLO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "CARDILLO",
"authorized_official_first_name": "MARIA ELANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-617-3552"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.