PEACH ASSISTANCE PROGRAM
NPI 1477148252
Voluntary or Charitable in Mantua, NJ

Active since March 04, 2021
1172 TRISTRAM CIR, MANTUA, NJ 08051(856) 822-0453(856) 539-5820 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Voluntary or Charitable

About PEACH ASSISTANCE PROGRAM

This page provides the complete NPI Profile along with additional information for Peach Assistance Program, a provider established in Mantua, New Jersey operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1477148252 assigned on March 2021. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Allison G Allen Fundenberg Medical Consultant (President)

NPI
1477148252 Verify this NPI
Provider Name
PEACH ASSISTANCE PROGRAM
Entity Type
Organization
Location Address
1172 TRISTRAM CIR MANTUA, NJ 08051
Location Phone
(856) 822-0453
Location Fax
(856) 539-5820
Mailing Address
1172 TRISTRAM CIR MANTUA, NJ 08051
Mailing Phone
(856) 822-0453
Mailing Fax
(856) 539-5820
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2021
Last Update Date
03-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALLISON G ALLEN FUNDENBERG MEDICAL CONSULTANT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(856) 822-0453

Reviews for PEACH ASSISTANCE PROGRAM

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
1172 TRISTRAM CIR
MANTUA, NJ 08051
Contractor
1172 TRISTRAM CIR
MANTUA, NJ 08051
Case Manager/Care Coordinator
1172 TRISTRAM CIR
MANTUA, NJ 08051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477148252, enumerated as an "organization" on March 04, 2021.

The provider is located at 1172 TRISTRAM CIR MANTUA, NJ 08051 and the phone number is (856) 822-0453.

Voluntary or Charitable with taxonomy code 251V00000X.