Provider Demographics
NPI:1003179029
Name:DR MEDICAL BILLING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:DR MEDICAL BILLING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-481-4217
Mailing Address - Street 1:137 GREENTREE RD
Mailing Address - Street 2:TOP FLOOR
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1569
Mailing Address - Country:US
Mailing Address - Phone:856-461-4217
Mailing Address - Fax:856-481-4764
Practice Address - Street 1:137 GREENTREE RD
Practice Address - Street 2:TOP FLOOR
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3233
Practice Address - Country:US
Practice Address - Phone:856-481-4217
Practice Address - Fax:856-481-4764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ232601Medicare PIN