Akj Medical Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MA003041L Issued in PA

Legal business name

AKJ MEDICAL WELLNESS LLC

Practice address

501 Cambria Ave
Bensalem, PA 19020-7213

Phone

(215) 237-9216

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Alvin Kingcade Jr., MS

Title

Owner/Chairman

Phone

(215) 237-9216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1871922880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W MIDVALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444618",
            "telephone_number": "215-237-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CAMBRIA AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190207213",
            "telephone_number": "215-237-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKJ MEDICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "KINGCADE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER/CHAIRMAN",
        "authorized_official_telephone_number": "215-237-9216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "MA003041L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.