JEFFREY A MULLEN (NPI# 1154941862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154941862 |
Entity Type | Individual |
Full Name | JEFFREY A MULLEN |
Practice Address |
773 Route 70 E Ste E100 Marlton NJ 08053-2363 |
Practice Telephone | 8569423700 |
Practice Fax Number | 8564525758 |
Mailing Telephone | 8569423700 |
Mailing Fax Number | 8564525758 |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871089458 | Jeffrey J Mullen | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2018-07-06 |
1447614276 | Jeffrey Mullen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2016-04-07 |
1164537304 | Jeffrey Mullen | Emergency Medicine | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2006-08-20 |
Street Address |
773 ROUTE 70 E STE E100 |
City | MARLTON |
State | NJ |
Zip Code | 08053-2363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104019892 | Kathleen Elizabeth Zielinski | Counselor | 773 Route 70 E Ste E100, Marlton, NJ 08053-2363 | 2007-08-25 |
1891314431 | Victoria Villene Franklin | Registered Nurse | 773 Route 70 E Ste E100, Marlton, NJ 08053-2363 | 2020-04-14 |
1043859655 | Jean Marie Calderone | Counselor | 773 Route 70 E Ste E100, Marlton, NJ 08053-2363 | 2019-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
Find all providers in zip 08053 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700407269 | Rachel Oliver | Peer Specialist | 732 Bringhurst Ave, Audubon, NJ 08106-1208 | 2020-05-06 |
1437700408 | Rose Simoli Ashley | Peer Specialist | 1225 Whitehorse Mercerville Rd # 1255, Hamilton, NJ 08619-3882 | 2019-09-21 |
1528619582 | Robert Lavern Brooks Jr. | Peer Specialist | 1255 Whitehorse Mercerville Rd Bldg B504, Hamilton, NJ 08619-3800 | 2019-09-21 |
1912551300 | Natasha Digenio | Peer Specialist | 72 Crane Ave, Rutherford, NJ 07070-2538 | 2019-07-24 |
1578050498 | Rise2gether Inc | Peer Specialist | 800 Summer Ave Apt B5, Newark, NJ 07104-3597 | 2018-04-16 |
1720521628 | Wahidah Presume | Peer Specialist | 120 Kingsberry Dr, Somerset, NJ 08873-4308 | 2016-11-23 |
1689273104 | Shane Pomales | Peer Specialist | 2250 Chapel Ave W Ste 120, Cherry Hill, NJ 08002-2051 | 2020-10-26 |
1326652587 | Delia E Burgos | Peer Specialist | 1903 Grant Ave, Williamstown, NJ 08094-6139 | 2020-09-04 |
1649894718 | Maria Canelas | Peer Specialist | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-06-03 |
1275157448 | Michael Luna | Peer Specialist | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.