INTELLIHEALTH, INC. (NPI# 1730186784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730186784 |
| Entity Type | Organization |
| Organization Name | INTELLIHEALTH, INC. |
| Other Organization Name | MOUNT LAUREL FAMILY MEDICINE |
| Practice Address |
4510 Church Rd Mount Laurel NJ 08054-2210 |
| Practice Telephone | 8564390060 |
| Practice Fax Number | 8564390061 |
| Mailing Telephone | 8564390060 |
| Mailing Fax Number | 8564390061 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | THOMAS Y LEE (OWNER) |
| Authorized Official Telephone | 8564390060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE GROUP NUMBER | DH0748 | 01 |
| Other Name | Type Code |
|---|---|
| Mount Laurel Family Medicine | Doing Business As Name - Organization |
| Street Address |
4510 CHURCH RD |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943244 | Sally Beth Maurer | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2005-06-24 |
| 1457812026 | Gabrielle D Jimenez | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2019-03-27 |
| 1912480609 | Ann M Foster | Registered Nurse | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2018-09-10 |
| 1689170235 | Elsie A Jolade | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2018-04-03 |
| 1487106290 | Beth Taylor | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2016-10-27 |
| 1417393943 | Phoenix Housecall Associates of South Jersey | Family Medicine | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2013-05-10 |
| 1639388556 | Deborah J Larmer | Occupational Therapist | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2007-05-21 |
| 1285632950 | Thomas Y Lee | Family Medicine | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295192193 | The Children's Hospital of Philadelphia | Clinic/Center | 3201 Marne Hwy, Mount Laurel, NJ 08054-9716 | 2016-01-22 |
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| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.