MEDICARE: GENERATION STATION 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	251S00000X	Community/Behavioral Health Agency		NJ

General Provider Information

NPI Number	:	1558703660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATION STATION LLC

Provider Business Mailing Address
First Line	:	545 BECKETT RD
Second Line	:	SUITE 105-106
City	:	LOGAN TOWNSHIP, (SWEDESBORO)
State	:	NJ
Zip	:	08085
Country	:	US
Telephone Number	:	856-467-6687
Fax Number	:	856-467-8636

Provider Business Practice Location Address
First Line	:	545 BECKETT RD
Second Line	:	SUITE 105-106
City	:	LOGAN TOWNSHIP
State	:	NJ
Zip	:	08085-1547
Country	:	US
Telephone Number	:	856-467-6687
Fax Number	:	856-467-8636

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. CARLA Y MCCROREY
Credential	:
Telephone Number	:	856-467-6687

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	06/12/2014

Similar Medicare Providers

1467524355 — SANDRA VAUSE, M.D., P.C.
Practice Location Address:

545 BECKETT RD STE 210 , PURELAND COMMONS
LOGAN TOWNSHIP, NJ
08085-1547

Practice Phone: 856-241-3311
Practice Fax: 856-241-3969

1174696462 — JAN P LONG MSN ANP-C
Practice Location Address:

545 BECKETT RD , SUITE 106
LOGAN TOWNSHIP, NJ
08085-1547

Practice Phone: 856-467-2556
Practice Fax: 856-467-3816

1336277169 — CARDIOVASCULAR GROUP-NJ LLC
Practice Location Address:

545 BECKETT RD , SUITE 101B
LOGAN TOWNSHIP, NJ
08085-1547

Practice Phone: 610-521-0150
Practice Fax: 610-521-6493

1578722856 — DR. NICOLE JASMYN BRIGHT D.O
Practice Location Address:

545 BECKETT RD , SUITE 101
LOGAN TOWNSHIP, NJ
08085-1547

Practice Phone: 856-241-3311
Practice Fax: 856-241-3969

1942474440 — DR. SCOTT L MATSON DMD, BS
Practice Location Address:

3125 N MAIN ST , #3
NORTH LOGAN, UT
84341-1547

Practice Phone: 435-239-7212
Practice Fax: 435-535-2464

1376773481 — DR. BRYAN NEAL PORTER D.D.S.
Practice Location Address:

3125 N MAIN ST , SUITE #104
NORTH LOGAN, UT
84341-1547

Practice Phone: 435-787-4444
Practice Fax: 435-787-0044

Directions to “GENERATION STATION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.