Pennsylvania Health & Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008907L Issued in PA

Legal business name

PENNSYLVANIA HEALTH & WELLNESS CENTER

Doing business as

Pennsylvania Injury Center

Practice address

1919 Greentree Rd
Cherry Hill, NJ 08003-1115

Phone

(856) 761-8100

Fax

(856) 761-8107

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Anthony C Carabasi, D.C.

Title

Owner

Phone

(856) 761-8100

Specialties & licenses 4

Addresses

Other names 1

• Pennsylvania Injury Center Doing business as

Tax ID family

Pennsylvania Health Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pennsylvania Injury Center

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1902154404
  NPD tax ID

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1902163777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BUSTLETON AVE",
            "address_2": "#48",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524300",
            "telephone_number": "215-342-1024",
            "fax_number": "856-761-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031115",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CARABASI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-761-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00534300",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00446500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008907L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06299400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsylvania Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pedro J Pena, LMT
• Penn Family Medicine at Cherry Hill
• Penn Prespyterian Medical Center of the University of Pennsylvania Hea (Penn Medicine Cherry Hill Pharmacy)
• Ilana Penna, MSCCCSLP
• Megan Pennisi, PA-C
• Kristi L Pennypacker, SLP
• Marlon Peralta
• Samantha Peraza, MSN, APRN, CCRN
• Anne M Peregmon, DPT
• Maxwell Edward Perelgut, DMD

• Family Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.