1417 MEDICAL ASSOCIATES LLC


Address: 1417 Brace Rd, Cherry Hill, NJ 08034-3524
Phone: 5613184409

1417 MEDICAL ASSOCIATES LLC (NPI# 1659756534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659756534
Entity Type Organization
Organization Name 1417 MEDICAL ASSOCIATES LLC
Practice Address 1417 Brace Rd
Cherry Hill
NJ 08034-3524
Mailing Address 2328 10th Ave N Ste 302
Lake Worth
FL 33461-6612
Practice Telephone 5613184409
Enumeration Date 2015-07-21
Last Update Date 2015-07-21
Authorized Official Name JAMES STOKES (CEO)
Authorized Official Telephone 5613184455
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder) 		Behavioral Health & Social Service Providers

Office Location

Street Address 1417 BRACE RD
City CHERRY HILL
State NJ
Zip Code 08034-3524

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1215312194 Brace Medical Group LLC Internal Medicine 1417 Brace Rd, Cherry Hill, NJ 08034-3524 2015-07-21
1588049464 Diagnostics At Cherry Hill LLC Clinical Medical Laboratory 1417 Brace Rd, Cherry Hill, NJ 08034-3524 2015-07-21
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1386023125 Acu At Cherry Hill LLC Acupuncturist 1417 Brace Rd, Cherry Hill, NJ 08034-3524 2015-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821606054 Glickman Psychological Services, LLC Psychologist 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 2020-07-14
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1598291940 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Brookdale Dr, Cherry Hill, NJ 08034 2017-05-04
1861928285 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Portsmouth Rd, Cherry Hill, NJ 08034 2017-05-04
1265967954 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Farmhouse Ln, Maple Shade, NJ 08034 2017-05-01
1023543709 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Cranford Rd, Cherry Hill, NJ 08034 2017-05-01
1588199269 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Colgate Drive, Cherry Hill, NJ 08034 2017-05-01
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1508289224 Bergen Psychiatric Associates Psychologist 294 State St Ste 2, Hackensack, NJ 07601-5515 2014-01-31
1720329576 Jediedjah Moshe Rodrigues Pereira Psychologist 1212 Todd Ct, Lakewood, NJ 08701-2256 2013-03-04
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1245430545 James William Langenbucher Psychologist 607 Allison Rd, Piscataway, NJ 08854-8001 2007-07-24
1255479077 Henry Benvenisti Psychologist 48 N Middletown Road, Montvale, NJ 07645 2007-02-02
1750435129 Extracare Health Services Psychologist 141 State Route 34, Matawan, NJ 07747-2187 2007-01-23
1598781973 Bloomfield Health Pavilion LLC Psychologist 86 Bloomfield Ave, 1st Floor & Basement, Newark, NJ 07104-1905 2006-07-15
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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

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.

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