TLC Management (Delaware Valley), LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TLC MANAGEMENT (DELAWARE VALLEY), LLC

Practice address

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2220

Phone

(856) 910-9987

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Brian L. Andrew

Title

Secretary

Phone

(636) 534-2300

Specialties & licenses 1

Addresses

Other names 1

• TLC Cherry Hill Doing business as

Tax ID family

Kremer Laser Eye Assoc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• TLC Management (Delaware Valley), LLC

  • Clinic/Center
  • King of Prussia, PA
  • NPI 1144434309
  NPD tax ID
• TLC Management (Delaware Valley), LLC

  • Clinic/Center
  • Wilmington, DE
  • NPI 1508071606
  NPD tax ID

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922211630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 HADDONFIELD RD",
            "address_2": "SUITE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022220",
            "telephone_number": "856-910-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MANAGEMENT (DELAWARE VALLEY), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-534-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert John Tisot, D.M.D.
• Titan RX
• Matthew Cornell Titus, DO
• TLC ABA
• TLC Dental Center
• TNJ Medical Associates PA
• Tara Ashley Toal-Flynn
• Todd Smith & Associates PC
• Judelkiss Todd, PT, DPT
• Mark J Todt, M.D.

• Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinic/Center 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.