Active NPI
Mullica Hill Lactation LLC
- In Home Supportive Care Agency
- Wenonah, NJ
National Provider Identifier
1831567429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 0400646066
- Legal business name
- MULLICA HILL LACTATION LLC
- Practice address
- 415 Eryn Rd
Wenonah, NJ 08090-1609 - Phone
- (856) 625-6099
- NPI assigned
- Sep 13, 2015
- 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
- Dana Suzanne Marro, BSN,RN,IBCLC
- Title
- Lactation Consultant
- Phone
- (856) 625-6099
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 26NO11618000 | NJ | |
| In Home Supportive Care Agency | 253Z00000X | 0400646066 | NJ | Primary |
Addresses
Primary practice location
415 Eryn Rd
Wenonah, NJ 08090-1609
Mailing address
415 Eryn Rd
Wenonah, NJ 08090-1609
Phone (856) 625-6099
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Registered Nurse)
- Wenonah, NJ
- NPI 1295103885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1831567429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ERYN RD",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080901609",
"telephone_number": "856-625-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ERYN RD",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080901609",
"telephone_number": "856-625-6099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLICA HILL LACTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-13",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "MARRO",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "LACTATION CONSULTANT",
"authorized_official_telephone_number": "856-625-6099",
"authorized_official_credential": "BSN,RN,IBCLC"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NJ",
"license": "26NO11618000",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NJ",
"license": "0400646066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenonah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.