Eating Disorders Treatment Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

EATING DISORDERS TREATMENT CENTER

Practice address

750 Route 73 S
Suite 104
Marlton, NJ 08053-4141

Phone

(856) 810-0100

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Jennie Rolon

Title

Insurance Liaison

Phone

(856) 810-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851447213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-810-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-810-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDERS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "INSURANCE LIAISON",
        "authorized_official_telephone_number": "856-810-0100"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Optical LLC
• Early Achievements LLC
• Eastern Dental of Marlton, LLC
• Stephanie P Eastman, MSW, LCSW
• Eat Well, Live Better LLC
• Ebi Healthcare Services LLC
• Andrew Ecker
• David R Edenbaum, DMD
• Samantha Eib
• Natalie Carisa Eisenhower, APN

• Psychiatric Hospital in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatric Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.