Provider Demographics
NPI:1306416201
Name:MED A QUEST, LLC
Entity Type:Organization
Organization Name:MED A QUEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-646-0388
Mailing Address - Street 1:6814 TILTON ROAD
Mailing Address - Street 2:SUITE G
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-4490
Mailing Address - Country:US
Mailing Address - Phone:609-646-0388
Mailing Address - Fax:609-646-5622
Practice Address - Street 1:6814 TILTON ROAD
Practice Address - Street 2:SUITE K
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4490
Practice Address - Country:US
Practice Address - Phone:609-646-0388
Practice Address - Fax:609-646-5622
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY QUEST, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-01
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0467758Medicaid