1821702564 NPI number — TURBO HEALTH ASSOCIATES

Table of content: MATTHEW ZABAT (NPI 1760278097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821702564 NPI number — TURBO HEALTH ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURBO HEALTH ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821702564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 S CHURCH ST STE 18
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT LAUREL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08054-2936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-639-6500
Provider Business Mailing Address Fax Number:
856-329-7827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 S CHURCH ST STE 18
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT LAUREL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08054-2936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-639-6500
Provider Business Practice Location Address Fax Number:
856-329-7827
Provider Enumeration Date:
01/09/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
OWNER/OPERATOR
Authorized Official Telephone Number:
856-639-6500

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 26NJ01009500 . This is a "NJ APN LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 805257 . This is a "NY RN LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: RN596049 . This is a "PA RN LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 403315 . This is a "NY APN LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: SP022399 . This is a "PA APN LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 26NR12116300 . This is a "NJ RN LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0905976 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".