MIND AND BODY MEDICINE LLC
NPI 1790678753
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cherry Hill, NJ

Active since May 29, 2025
28 SAINT MORITZ LN, CHERRY HILL, NJ 08003(732) 659-1051 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mind And Body Medicine Llc NPPES

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

MIND AND BODY MEDICINE LLC (NPI 1790678753) is a healthcare organization registered as a child & adolescent psychiatry in Cherry Hill, New Jersey and active in the NPI registry since May 2025. The organization lists Karuna S Poddar, Owner, as its authorized official.

NPPES Registry Identity

NPI1790678753
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMIND AND BODY MEDICINE LLC
Location Address28 SAINT MORITZ LNCherry Hill, NJ 08003-5122
Mailing Address28 Saint Moritz LnCherry Hill, NJ 08003-5122 · (732) 659-1051
Organization SubpartNo
Authorized OfficialKaruna S PoddarOwner · (732) 659-1051
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1790678753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
28 SAINT MORITZ LN, Cherry Hill, NJ 08003

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)

Mind And Body Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind And Body Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hospitalist
NPI 1740591247
1 COOPER PLZ DORRANCE BLDG, SUITE 222
Camden, NJ 08103
(619) 203-7930
✔ PECOS✔ Accepts Medicare8.1 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 Mind And Body Medicine LLC's NPI number?

The NPI number for Mind And Body Medicine LLC is 1790678753. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Mind And Body Medicine LLC located?

Mind And Body Medicine LLC is located at 28 Saint Moritz Ln, Cherry Hill, NJ 08003. The listed phone number is (732) 659-1051.

What is Mind And Body Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mind And Body Medicine LLC enrolled in Medicare?

Yes. Mind And Body Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind And Body Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Mind And Body Medicine 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 Mind And Body Medicine LLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.