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CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
NPI 1467508796
Pediatrics in Marlton, NJ

Active since January 27, 2007
12000 LINCOLN DR W, SUITE 311, MARLTON, NJ 08053(856) 985-8100(856) 985-8374 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa NPPES

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

CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA (NPI 1467508796) is a healthcare organization registered as a pediatrics in Marlton, New Jersey and active in the NPI registry since January 2007. The organization lists Jay Mirmanesh, President, as its authorized official.

NPPES Registry Identity

NPI1467508796
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
Location Address12000 LINCOLN DR W, SUITE 311Marlton, NJ 08053-3402
Mailing Address12000 Lincoln Dr W Ste 311Marlton, NJ 08053-3405 · (856) 985-8100 · Fax (856) 985-8374
Phone(856) 985-8100
Fax(856) 985-8374
Organization SubpartNo
Authorized OfficialJay MirmaneshPresident · (856) 985-8100
Enumeration DateJanuary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467508796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA05186900
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12000 LINCOLN DR W, Marlton, NJ 08053
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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

Other Providers at the Same Location NPPES 13

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

DR. NADIA CHAUDHRY M.D.
Legal Medicine
12000 LINCOLN DR W
MARLTON, NJ 08053
Burlington County (856) 988-8230
KATHLEEN MARIE DEAN LCSW
Social Worker (Clinical)
12000 LINCOLN DR W, SUITE 407
MARLTON, NJ 08053
Burlington County (856) 985-3404
THE EB WELLNESS CENTER
Social Worker (Clinical)
12000 LINCOLN DR W, SUITE 405
MARLTON, NJ 08053
Burlington County (865) 830-1185
DR. GREGORY WILLIAM JOSEPH PSY.D.
Psychologist (Clinical)
12000 LINCOLN DR W, SUITE 105
MARLTON, NJ 08053
Burlington County (856) 797-0791
STEPHEN FALKOWSKI, DO PA
Family Medicine
12000 LINCOLN DR W, SUITE 309
MARLTON, NJ 08053
Burlington County (856) 985-4600
UNITY CARE MEDICAL GROUP, LLC
Pediatrics
12000 LINCOLN DR W, SUITE 311
MARLTON, NJ 08053
Burlington County (856) 985-8100
DR. BRYAN C RUSSELL DC
Chiropractor
12000 LINCOLN DR W, SUITE 304
MARLTON, NJ 08053
Burlington County (856) 983-4499
MRS. CYNTHIA CARR KELLY M.A., L.P.C.
Counselor
12000 LINCOLN DR W, BLDG. 4, SUITE 407
MARLTON, NJ 08053
Burlington County (856) 810-0264

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 Center For Pediatrics Adolescent And Adult Medicine Of Snj PA's NPI number?

The NPI number for Center For Pediatrics Adolescent And Adult Medicine Of Snj PA is 1467508796. It was assigned to this organization in the NPPES registry on January 27, 2007.

Where is Center For Pediatrics Adolescent And Adult Medicine Of Snj PA located?

Center For Pediatrics Adolescent And Adult Medicine Of Snj PA is located at 12000 Lincoln Dr W Suite 311, Marlton, NJ 08053. The listed phone number is (856) 985-8100.

What is Center For Pediatrics Adolescent And Adult Medicine Of Snj PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Center For Pediatrics Adolescent And Adult Medicine Of Snj PA 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.