MORDECAI & CARAVELLO WELLNESS, LLC
NPI 1407409360
Clinic/Center - Multi-Specialty in Cherry Hill, NJ

Active since July 19, 2019CLIA 31D2173931 · Waiver
1401 MARLTON PIKE E STE 14, CHERRY HILL, NJ 08034(609) 932-5299 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mordecai & Caravello Wellness, Llc NPPES

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

MORDECAI & CARAVELLO WELLNESS, LLC (NPI 1407409360) is a healthcare organization registered as a multi-specialty in Cherry Hill, New Jersey and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Andrew B Caravello, Owner, as its authorized official.

NPPES Registry Identity

NPI1407409360
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMORDECAI & CARAVELLO WELLNESS, LLC
Location Address1401 MARLTON PIKE E STE 14Cherry Hill, NJ 08034-2207
Mailing Address14 Magnolia CtMedford, NJ 08055-8181 · (609) 932-5299
Organization SubpartNo
Authorized OfficialAndrew B CaravelloOwner · (609) 932-5299
Enumeration DateJuly 19, 2019
NPI 1407409360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1401 MARLTON PIKE E STE 14, Cherry Hill, NJ 08034

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2173931

Mordecai & Caravello Wellness LLC Dba Medi Weightloss · Cherry Hill, NJ
Active · expires Oct 21, 2027
CLIA Number31D2173931
Laboratory TypePractitioner Other
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorRussell E. Mordecai
Laboratory Phone(908) 420-1037
Laboratory LocationMordecai & Caravello Wellness LLC Dba Medi Weightloss1401 Marlton Pike East, Suite 14, Cherry Hill, NJ 08034
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center
1401 MARLTON PIKE E STE 14
CHERRY HILL, NJ 08034

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 Mordecai & Caravello Wellness, LLC's NPI number?

The NPI number for Mordecai & Caravello Wellness, LLC is 1407409360. It was assigned to this organization in the NPPES registry on July 19, 2019.

Where is Mordecai & Caravello Wellness, LLC located?

Mordecai & Caravello Wellness, LLC is located at 1401 Marlton Pike E Ste 14, Cherry Hill, NJ 08034. The listed phone number is (609) 932-5299.

What is Mordecai & Caravello Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Mordecai & Caravello Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2173931) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mordecai & Caravello Wellness, LLC was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.