MEDICARE: AMERICAN TELEHEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	OS13808	FL
2	208D00000X	General Practice Physician	OS015197	PA
3	208D00000X	General Practice Physician	25MB09625800	NJ

General Provider Information

NPI Number	:	1245600022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN TELEHEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 159
Second Line	:
City	:	BARRINGTON
State	:	NJ
Zip	:	08007-0159
Country	:	US
Telephone Number	:	888-982-8594
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 CRAWFORD PL STE 240
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3965
Country	:	US
Telephone Number	:	888-982-8594
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN HOPKINS
Credential	:	DO
Telephone Number	:	888-982-8594

Provider Enumeration Date	:	10/06/2015
Last Update Date	:	02/08/2023

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