Organization Active NPI

New Dawn Wellness Center and Rehab

  • Addiction Medicine (Internal Medicine) Physician
  • Voorhees, NJ
National Provider Identifier
1780249987
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
NEW DAWN WELLNESS CENTER AND REHAB
Practice address
402 Sheppard Rd Ste 300
Voorhees, NJ 08043-4685
Phone
(818) 639-3296
Fax
(856) 229-7699
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Jeffrey Geller, MD
Title
Owner
Phone
(856) 466-9653

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

402 Sheppard Rd Ste 300
Voorhees, NJ 08043-4685

Mailing address

21 Hidden Acres Dr
Voorhees, NJ 08043-1551

Other identifiers 1

IdentifierTypeStateIssuer
001649582MedicaidPA

National Provider Directory

National Provider Directory

Locations

1990 Marlton Pike E
Ste 2B
Cherry Hill, NJ 08003

402 Sheppard Rd
Ste 300
Voorhees, NJ 08043
Phone (818) 639-3296

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": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1780249987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIDDEN ACRES DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SHEPPARD RD STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434685",
            "telephone_number": "818-639-3296",
            "fax_number": "856-229-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN WELLNESS CENTER AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-466-9653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001649582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.