Healthcare Provider Details

I. General information

NPI: 1659288710
Provider Name (Legal Business Name): CHARLES THOMAS MCSWEENEY JR. NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E TAUNTON RD STE 500
BERLIN NJ
08009-2615
US

IV. Provider business mailing address

205 ROOSEVELT DR
CHERRY HILL NJ
08002-1140
US

V. Phone/Fax

Practice location:
  • Phone: 609-481-8742
  • Fax: 609-481-2270
Mailing address:
  • Phone: 609-481-8742
  • Fax: 609-481-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number537317
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: