Provider Demographics
NPI:1821702564
Name:TURBO HEALTH ASSOCIATES
Entity type:Organization
Organization Name:TURBO HEALTH ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APN
Authorized Official - Phone:856-639-6500
Mailing Address - Street 1:1200 S CHURCH ST STE 18
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2936
Mailing Address - Country:US
Mailing Address - Phone:856-639-6500
Mailing Address - Fax:856-329-7827
Practice Address - Street 1:1200 S CHURCH ST STE 18
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2936
Practice Address - Country:US
Practice Address - Phone:856-639-6500
Practice Address - Fax:856-329-7827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ01009500OtherNJ APN LICENSE
NY805257OtherNY RN LICENSE
PARN596049OtherPA RN LICENSE
NY403315OtherNY APN LICENSE
PASP022399OtherPA APN LICENSE
NJ26NR12116300OtherNJ RN LICENSE
NJ0905976Medicaid