Healthcare Provider Details

I. General information

NPI: 1215849567
Provider Name (Legal Business Name): MAGIC CURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S WHITE HORSE PIKE
HAMMONTON NJ
08037-1846
US

IV. Provider business mailing address

971 US HIGHWAY 202 N STE 7636
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 646-817-1309
  • Fax:
Mailing address:
  • Phone: 646-817-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MARK PETERSON
Title or Position: MANAGER
Credential:
Phone: 646-817-1309