OrganizationActive
Src Pending Consult Management
NPI 1366433534 · Clinic/Center · Fort Dix, NJ
Src Pending Consult Management is a Clinic/Center organization in Fort Dix, NJ (NPI 1366433534).
Provider details
- NPI number
- 1366433534
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christala Cherry, Case Manager(609) 562-6312
- License
- 26NR09534400 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5250 Maryland Ave
Fort Dix, NJ 08640-5058
Phone: (609) 562-6312
Street-level locationGet directions
Mailing address
1312 Paris Ct
Lakewood, NJ 08701-3724
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Src Pending Consult Management's NPI number?
- Src Pending Consult Management's National Provider Identifier (NPI) is 1366433534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Src Pending Consult Management?
- Src Pending Consult Management is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Src Pending Consult Management located?
- Src Pending Consult Management's practice location on file with NPPES is 5250 Maryland Ave, Fort Dix, NJ 08640-5058.
- What is Src Pending Consult Management's phone number?
- The practice phone number listed in the NPPES registry for Src Pending Consult Management is (609) 562-6312.
- Who is the authorized official for Src Pending Consult Management?
- The authorized official listed on Src Pending Consult Management's NPPES record is Christala Cherry, Case Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Src Pending Consult Management's NPI active?
- Yes — Src Pending Consult Management's NPI (1366433534) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.