Provider Demographics
NPI:1427306737
Name:NP ADVANTAGE, LLC
Entity type:Organization
Organization Name:NP ADVANTAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIERNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-630-7723
Mailing Address - Street 1:2210 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4518
Mailing Address - Country:US
Mailing Address - Phone:856-630-7723
Mailing Address - Fax:856-303-1001
Practice Address - Street 1:2210 DERBY DR
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-4518
Practice Address - Country:US
Practice Address - Phone:856-630-7723
Practice Address - Fax:856-303-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty