Organization Active NPI

Associates in Preventive Medicine, LLC

Doing business as cherryhill clinic for preventive medicine

  • Clinic/Center
  • Marlton, NJ
National Provider Identifier
1891020996
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MB07553000 Issued in NJ
Legal business name
ASSOCIATES IN PREVENTIVE MEDICINE, LLC
Doing business as
cherryhill clinic for preventive medicine
Practice address
538 Lippincott Dr BLDG E
Marlton, NJ 08053-4806
Phone
(856) 489-0505
Fax
(856) 489-0435
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Molly Fantasia, PHD
Title
Clinical Director
Phone
(856) 489-9480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MB07553000 NJ Primary

Addresses

Primary practice location

538 Lippincott Dr BLDG E
Marlton, NJ 08053-4806

Mailing address

538 Lippincott Dr BLDG E
Marlton, NJ 08053-4806
Phone (856) 489-0505

Other names 1

  • cherryhill clinic for preventive medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2002689Associates in Preventive Medicine538 Lippincott Drive, Building E, Marlton, NJ 08053Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory

Locations

1930 Route 70 E
Ste J52
Cherry Hill, NJ 08003
Phone (856) 489-0505

538 Lippincott Dr
Bldg E
Marlton, NJ 08053
Phone (856) 489-0503

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1891020996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LIPPINCOTT DR BLDG E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-489-0505",
            "fax_number": "856-616-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LIPPINCOTT DR BLDG E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-489-0505",
            "fax_number": "856-489-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PREVENTIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "FANTASIA",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "856-489-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MB07553000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cherryhill clinic for preventive medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.