Active NPI
Archercare LLC
- Nurse Practitioner
- Mount Laurel, NJ
National Provider Identifier
1821782483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ARCHERCARE LLC
- Doing business as
- ARCHERCARE LLC
- Practice address
- 1200 S Church St Ste 21B
Mount Laurel, NJ 08054-2936 - Phone
- (646) 388-1529
- NPI assigned
- Jun 6, 2023
- 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
- Mrs. Ernestina S Archer, NURSE PRACTITIONER
- Title
- Apn FNPC
- Phone
- (646) 388-1529
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1200 S Church St Ste 21B
Mount Laurel, NJ 08054-2936
Mailing address
1200 S Church St Ste 21B
Mount Laurel, NJ 08054-2936
Phone (646) 388-1529
Other practice location 1
1200 S Church St Ste 21B
Mount Laurel, NJ 08054-2936
Phone (646) 388-1529
Other names 1
- ARCHERCARE LLC
National Provider Directory
National Provider DirectoryLocations
1200 S Church St
Ste 21B
Mount Laurel, NJ 08054
Phone (609) 337-6178
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Camden, NJ
- NPI 1376064915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1821782483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S CHURCH ST STE 21B",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542936",
"telephone_number": "646-388-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CHURCH ST STE 21B",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542936",
"telephone_number": "646-388-1529"
}
],
"practiceLocations": [
{
"address_1": "1200 S Church St Ste 21B",
"address_purpose": "LOCATION",
"city": "Mount Laurel",
"state": "NJ",
"postal_code": "080542936",
"country_code": "US",
"telephone_number": "646-388-1529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARCHERCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "ERNESTINA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "APN FNPC",
"authorized_official_telephone_number": "646-388-1529",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ARCHERCARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.