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MEDIVERSITY HEALTH AT TURNERSVILLE
NPI 1063862548
Non-Pharmacy Dispensing Site in Turnersville, NJ

Active since June 15, 2016
4991 ROUTE 42, SUITE 8, TURNERSVILLE, NJ 08012(609) 703-5097 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mediversity Health At Turnersville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIVERSITY HEALTH AT TURNERSVILLE (NPI 1063862548) is a healthcare organization registered as a non-pharmacy dispensing site in Turnersville, New Jersey and active in the NPI registry since June 2016. The organization lists Matt Legowski, Operations, as its authorized official.

NPPES Registry Identity

NPI1063862548
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEDIVERSITY HEALTH AT TURNERSVILLE
Location Address4991 ROUTE 42, SUITE 8Turnersville, NJ 08012-1750
Mailing Address4991 Route 42, Suite 8Turnersville, NJ 08012-1750
Phone(609) 703-5097
Organization SubpartNo
Authorized OfficialMatt LegowskiOperations · (609) 703-5097
Enumeration DateJune 15, 2016
✔ NPI 1063862548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NJ · 25MA07774900
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4991 ROUTE 42, Turnersville, NJ 08012
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALID M LOUL NUTRITIONIST
Nutritionist (Nutrition, Education)
4991 ROUTE 42, SUITE 8
TURNERSVILLE, NJ 08012
Camden County (856) 740-9777
DR. AHSAN A ABDULGHANI MD
Internal Medicine (Geriatric Medicine)
4991 ROUTE 42, SUITE 8
TURNERSVILLE, NJ 08012
Camden County (856) 740-9777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mediversity Health At Turnersville's NPI number?

The NPI number for Mediversity Health At Turnersville is 1063862548. It was assigned to this organization in the NPPES registry on June 15, 2016.

Where is Mediversity Health At Turnersville located?

Mediversity Health At Turnersville is located at 4991 Route 42 Suite 8, Turnersville, NJ 08012. The listed phone number is (609) 703-5097.

What is Mediversity Health At Turnersville's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Mediversity Health At Turnersville was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.