SRC PENDING CONSULT MANAGEMENT
NPI 1366433534
Clinic/Center in Fort Dix, NJ

Q: What is Src Pending Consult Management's NPI number?

The NPI number for Src Pending Consult Management is 1366433534. It was assigned to this organization in the NPPES registry on November 4, 2005.

Q: What is Src Pending Consult Management's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 04, 2005

5250 MARYLAND AVE, FORT DIX, NJ 08640(609) 562-6312 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Src Pending Consult Management NPPES

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

SRC PENDING CONSULT MANAGEMENT (NPI 1366433534) is a healthcare organization registered as a clinic/center in Fort Dix, New Jersey and active in the NPI registry since November 2005. The organization lists Christala Cherry, Case Manager, as its authorized official.

NPPES Registry Identity

NPI1366433534

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSRC PENDING CONSULT MANAGEMENT

Location Address5250 MARYLAND AVEFort Dix, NJ 08640-5058

Mailing Address1312 Paris CtLakewood, NJ 08701-3724 · (732) 267-7737

Phone(609) 562-6312

Organization SubpartNo

Authorized OfficialChristala CherryCase Manager · (609) 562-6312

Enumeration DateNovember 4, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366433534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NJ · 26NR09534400

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5250 MARYLAND AVE, Fort Dix, NJ 08640

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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.

JOY A HOFFMAN PTA

Physical Therapy Assistant

5250 MARYLAND AVE
FORT DIX, NJ 08640

Burlington County (609) 562-6487

MR. PERSIVAL FAUSTINO BORLONGAN PT

Physical Therapist

5250 MARYLAND AVE, SRC (REAR OF WALSON)
FORT DIX, NJ 08640

Burlington County (609) 562-6487

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 Src Pending Consult Management's NPI number?

The NPI number for Src Pending Consult Management is 1366433534. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is Src Pending Consult Management located?

Src Pending Consult Management is located at 5250 Maryland Ave, Fort Dix, NJ 08640. The listed phone number is (609) 562-6312.

What is Src Pending Consult Management's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Src Pending Consult Management was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.