Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Pediatrics Adolescent and Adult Medicine of Snj PA

Organization Pediatrics Physician · NPI 1467508796

Center for Pediatrics Adolescent and Adult Medicine of Snj PA is a Pediatrics Physician in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12000 Lincoln Dr W Ste 311
Marlton, NJ 08053-3402
Phone: (856) 985-8100
Fax: (856) 985-8374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA05186900 (NJ)

Record details

NPI number1467508796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Mirmanesh — President · (856) 985-8100
NPI enumeratedJanuary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12000 Lincoln Dr W Ste 311, Marlton, NJ 08053-3405

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