Organization Active NPI

Mullica Hill Lactation LLC

  • In Home Supportive Care Agency
  • Wenonah, NJ
National Provider Identifier
1831567429
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0400646066 Issued in NJ
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

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dana Suzanne Marro, BSN,RN,IBCLCNPI 1295103885
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.