Ashley E Nelson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02720800 Issued in NJ

Practice address

201 N Black Horse Pike
Runnemede, NJ 08078-1631

Phone

(856) 939-5225

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1891271185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHAUCER LN",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553949",
            "telephone_number": "609-784-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781631",
            "telephone_number": "856-939-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02720800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Malave, MD
• Debra McMire, MSN FNPC
• Kyrie McNeill
• Medexpress Urgent Care - New Jersey, Inc. (MedExpress Urgent Care - Runnemede)
• Zofia Mlynarz, MSW LCSW
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 00836)
• Pacilio Chiropractic Associates LLC
• Vincent J Pacilio, D.C.
• Rachel Lea Pantaleo, ATC
• Daniel Parmiter, RPH

• General Practice Dentistry in Runnemede, NJ
• Providers in Runnemede, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.