Organization Active NPI

Maria Elana Cardillo, LLC

  • Adult Mental Health Clinic/Center
  • Sewell, NJ
National Provider Identifier
1750891248
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Nov 9, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.