Avalon Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0600334034 Issued in NJ

Legal business name

AVALON MEDICAL, LLC

Practice address

1317 Route 73
Suite 108
Mount Laurel, NJ 08054-2202

Phone

(856) 533-2455

Fax

(856) 533-2419

NPI assigned

Nov 3, 2008

Last updated

Jun 6, 2014By 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

Mr. Michael Covone

Title

Vice President

Phone

(856) 533-2455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1841443967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "address_2": "SUITE 108",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-533-2455",
            "fax_number": "856-533-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "address_2": "SUITE 108",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-533-2455",
            "fax_number": "856-533-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "COVONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-533-2455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0600334034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Aune, DO
• Ausen Care Associates LLC
• Autism Spectrum Mandate Services
• Autonomic Clinical Services
• Avad Home Care Solutions
• Avier Care LLC
• Alyssa-Lea Azeglio, CCC-SLP
• Iman M Badawy, PHARM.D.
• Andrea Bader, BCBA
• Angel L Baillie, PHYSICIAN ASSISTANT

• Durable Medical Equipment & Medical Supplies in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.