LEAP HEALTH AND WELLNESS CENTER (NPI# 1912325077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912325077 |
| Entity Type | Organization |
| Organization Name | LEAP HEALTH AND WELLNESS CENTER |
| Practice Address |
130 N Broadway 10th Floor Camden NJ 08102-1122 |
| Mailing Address |
130 N Broadway 11th Floor Camden NJ 08102-1122 |
| Practice Telephone | 8566145610 |
| Practice Fax Number | 8566143236 |
| Mailing Telephone | 8566145600 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MR. MANUEL DELGADO (COO) |
| Authorized Official Telephone | 8566143234 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEAP ACADEMY UNIVERSITY CHARTER SCHOOL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA06603200 | NJ | Ambulatory Health Care Facilities |
| Street Address |
130 N BROADWAY 10TH FLOOR |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08102-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120213 | Velmina S Rivera | Pediatrics | 130 N Broadway, 10th Floor, Camden, NJ 08102-1122 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992432 | Gracious Smiles, Inc. | Dentist | 121 Market St., Camden, NJ 08102 | 2017-10-06 |
| 1982154837 | Karl William Medley Sr. | Health Educator | 330 Federal St., Camden County Dept. of Corrections- Second Chance, Camden, NJ 08102 | 2016-10-04 |
| 1023445699 | Northeast Pain Management | Clinic/Center | 1 Market St. #1c, Camden, NJ 08102 | 2013-09-27 |
| 1235309915 | John D Holtsclaw | Specialist | 424 Market Street, Camden, NJ 08102 | 2008-03-10 |
| 1225207780 | Camcare Health Corporation | Clinic/Center | 6th and Erie Street, Camden, NJ 08102 | 2008-02-28 |
| 1376729681 | Dean J. Pulcini | Social Worker | 530 Cooper St., Costar Center, Camden, NJ 08102 | 2008-01-16 |
| 1760525489 | Rxd Pharmacy of Nj Inc | Pharmacy | 1805 Broadway, A&b Drugs, Camden, NJ 08102 | 2007-02-14 |
| 1114068236 | Lyda Cervantes Monte | Psychiatry & Neurology | 427 Market Street, Nueva Vida Behavioral Health Center of N.j., Camden, NJ 08102 | 2007-02-09 |
| 1316936479 | Natalya Kondratyeva | Dentist | 433 Market St Ste 102, Camden, NJ 08102 | 2005-10-20 |
| 1467806935 | Michael Waak | Social Worker | 330 Federal Street, Camden County Department of Corrections, Camden, NJ 08102 | 2016-04-20 |
| Find all providers in zip 08102 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1437371093 | Delaware Family Healthcare Alliance, Inc. | Clinic/Center | 2114 S Dupont Hwy Ste 1, Camden, DE 19934-1249 | 2007-05-03 |
| 1427025576 | J. Paul Jones Hospital Board Wilcox Medical Clinic | Clinic/Center | 319 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
| 1043825110 | Premier Family Medicine, LLC | Clinic/Center | 1493 Highway 17, Camden, MS 39045-9524 | 2020-09-14 |
| 1316401557 | J Paul Jones Hospital Primary Care Clinic | Clinic/Center | 321 Whiskey Run Rd, Camden, AL 36726-2303 | 2019-01-22 |
| 1891113965 | Rome Memorial Hospital, Inc | Clinic/Center | 5 Masonic Ave, Camden, NY 13316-1234 | 2014-04-04 |
| 1386984763 | Broadway Community Health Care, Inc | Clinic/Center | 442 S Broadway, Camden, NJ 08103-1246 | 2013-02-22 |
| 1750651857 | Ouachita Physician Services | Clinic/Center | 476 Hospital Dr, Camden, AR 71701-4616 | 2012-01-05 |
| 1801178207 | Ramon Acosta Md PC | Clinic/Center | 2 Leonard Ave, Camden, NJ 08105-2404 | 2011-09-13 |
| 1386951101 | Thornburg Family Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr, Camden, TN 38320-1618 | 2010-09-01 |
| Find all providers in CAMDEN | ||||
Please comment or provide details below to improve the information on LEAP HEALTH AND WELLNESS CENTER.
| 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.