Organization Active NPI

South Jersey Wellness Solutions

  • Clinic/Center
  • Pitman, NJ
National Provider Identifier
1952135964
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTH JERSEY WELLNESS SOLUTIONS
Practice address
110 N Woodbury Rd
Pitman, NJ 08071-1261
Phone
(856) 498-1243
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Mark Kiker
Title
Principal
Phone
(856) 498-1243

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

110 N Woodbury Rd
Pitman, NJ 08071-1261

Mailing address

110 N Woodbury Rd
Pitman, NJ 08071-1261

National Provider Directory

National Provider Directory

Locations

110 N Woodbury Rd
Pitman, NJ 08071
Phone (856) 498-1243

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1952135964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N WOODBURY RD",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N WOODBURY RD",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711261",
            "telephone_number": "856-498-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "856-498-1243"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pitman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.