Active NPI
Wellbound of Cherry Hill, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cherry Hill, NJ
National Provider Identifier
1790347698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WELLBOUND OF CHERRY HILL, LLC
- Practice address
- 1945 Route 70 E Ste a
Cherry Hill, NJ 08003-2117 - Phone
- (650) 404-3655
- Fax
- (650) 625-6007
- NPI assigned
- Jul 1, 2019
- 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
- Bernadette Vincent
- Title
- President/Coo
- Phone
- (650) 404-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1945 Route 70 E Ste a
Cherry Hill, NJ 08003-2117
Mailing address
300 Santana Row Ste 300
San Jose, CA 95128-2424
Phone (650) 404-3655
Other names 1
- Satellite WellBound of Cherry Hill
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, CA
- NPI 1649241720
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1033314919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1790347698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANTANA ROW STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282424",
"telephone_number": "650-404-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 ROUTE 70 E STE A",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032117",
"telephone_number": "650-404-3655",
"fax_number": "650-625-6007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLBOUND OF CHERRY HILL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-01",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "650-404-3600"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite WellBound of Cherry Hill",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite WellBound of Cherry Hill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.