TRIADA INTERGRATIVE MEDICINE AND WELLNESS LLC
NPI 1144092966
Clinic/Center - Adult Mental Health in Sicklerville, NJ

Active since October 25, 2023
1300 LIBERTY PL, SICKLERVILLE, NJ 08081(856) 818-4054 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2026, Aug 14, 2026, Dec 11, 2023 and 1 more (4 updates tracked since 2023).

About Triada Intergrative Medicine And Wellness Llc NPPES

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

TRIADA INTERGRATIVE MEDICINE AND WELLNESS LLC (NPI 1144092966), doing business as Triada Intergrative Medicine And Wellness, is a healthcare organization registered as an adult mental health in Sicklerville, New Jersey and active in the NPI registry since October 2023. The organization lists Marcee Jones, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1144092966
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTRIADA INTERGRATIVE MEDICINE AND WELLNESS LLC
Location Address1300 LIBERTY PLSicklerville, NJ 08081-5710
Mailing Address1300 Liberty PlSicklerville, NJ 08081-5710 · (856) 818-4054
Organization SubpartNo
Authorized OfficialMarcee JonesCredentialing Director · (410) 824-1480
Enumeration DateOctober 25, 2023
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1144092966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1300 LIBERTY PL, Sicklerville, NJ 08081

Other Names 1

Doing Business AsTriada Intergrative Medicine And Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Triada Intergrative Medicine And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Triada Intergrative Medicine And Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1396497863
765 ROUTE 70 E BLDG A100
Marlton, NJ 08053
(856) 797-4721
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1912559634
1925 PACIFIC AVE
Atlantic City, NJ 08401
(856) 889-0851
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Triada Intergrative Medicine And Wellness LLC's NPI number?

The NPI number for Triada Intergrative Medicine And Wellness LLC is 1144092966. It was assigned to this organization in the NPPES registry on October 25, 2023. The provider is doing business as Triada Intergrative Medicine and Wellness.

Where is Triada Intergrative Medicine And Wellness LLC located?

Triada Intergrative Medicine And Wellness LLC is located at 1300 Liberty Pl, Sicklerville, NJ 08081. The listed phone number is (856) 818-4054.

What is Triada Intergrative Medicine And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Triada Intergrative Medicine And Wellness LLC enrolled in Medicare?

Yes. Triada Intergrative Medicine And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triada Intergrative Medicine And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Triada Intergrative Medicine And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Triada Intergrative Medicine And Wellness LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.