Mullica Gardens Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

08A009 Issued in NJ

Legal business name

MULLICA GARDENS ASSISTED LIVING

Practice address

161 Mullica Hill Road
Mullica Hill, NJ 08062-3245

Phone

(856) 434-4000

Fax

(856) 434-4115

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tarak Akrout, M.D.

Title

Majority Partner

Phone

(856) 434-4009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1801271929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MULLICA HILL ROAD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623245",
            "telephone_number": "856-434-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MULLICA HILL ROAD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623245",
            "telephone_number": "856-434-4000",
            "fax_number": "856-434-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLICA GARDENS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "AKROUT",
        "authorized_official_first_name": "TARAK",
        "authorized_official_title_or_position": "MAJORITY PARTNER",
        "authorized_official_telephone_number": "856-434-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "08A009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Moass, MD
• Jasper Mok, MD
• Ronald Carl Moore III
• Rodney Morrison Jr.
• Sweta Mukhopadhyay, DO
• Mullica Hill Advanced Therapies
• Mullica Hill Anesthesia
• Mullica Hill Chiropractic
• Mullica Hill Family Dental, LLC
• Mullica Hill Family Eyecare LLC

• Assisted Living Facility in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.