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

Src Pending Consult Management

Organization Clinic/Center · NPI 1366433534

Src Pending Consult Management is a Clinic/Center in Fort Dix, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
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Practice location Address checks out

5250 Maryland Ave
Fort Dix, NJ 08640-5058
Phone: (609) 562-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 26NR09534400 (NJ)

Record details

NPI number1366433534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christala Cherry — Case Manager · (609) 562-6312
NPI enumeratedNovember 4, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1312 Paris Ct, Lakewood, NJ 08701-3724