Active NPI
Jeffrey M Dolin
- Behavior Analyst
- Cherry Hill, NJ
National Provider Identifier
1982298568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47704
- Practice address
- 1256 Marlkress Rd
Cherry Hill, NJ 08003-2626 - Phone
- (856) 888-1097
- NPI assigned
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-47704 | NJ | Primary |
Addresses
Primary practice location
1256 Marlkress Rd
Cherry Hill, NJ 08003-2626
Mailing address
1256 Marlkress Rd
Cherry Hill, NJ 08003-2626
Phone (856) 888-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1982298568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 MARLKRESS RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032626",
"telephone_number": "856-888-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 MARLKRESS RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032626",
"telephone_number": "856-888-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLIN",
"first_name": "JEFFREY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-21-47704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.