MEDICARE: 200 MARTER AVENUE OPERATIONS 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	314000000X	Skilled Nursing Facility	0000NJ	NJ

General Provider Information

NPI Number	:	1700202751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	200 MARTER AVENUE OPERATIONS LLC

Provider Business Mailing Address
First Line	:	101 EAST STATE STREET
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19347-3109
Country	:	US
Telephone Number	:	610-444-6350
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 MARTER AVE
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-3114
Country	:	US
Telephone Number	:	856-291-4800
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MICHAEL T BERG
Credential	:
Telephone Number	:	505-468-4742

Provider Enumeration Date	:	03/14/2014
Last Update Date	:	10/01/2015

Similar Medicare Providers

1356617872 — IPSIT PANDYA M.D.
Practice Location Address:

212 MARTER AVE
MOORESTOWN, NJ
08057-3114

Practice Phone: 856-234-4749
Practice Fax:

1891870432 — CHOP CLINICAL ASSOCIATES, INC
Practice Location Address:

200 MARTER AVE , SUITE 100
MOORESTOWN, NJ
08057-3114

Practice Phone: 856-235-2147
Practice Fax: 856-235-6905

1316362809 — 200 MARTER AVENUE OPERATIONS LLC
Practice Location Address:

200 MARTER AVENUE
MOORESTOWN, NJ
08057-3114

Practice Phone: 610-444-6350
Practice Fax: 610-444-4395

1508267683 — EMILY DONNELLY I
Practice Location Address:

212 MARTER AVE
MOORESTOWN, NJ
08057-3114

Practice Phone: 856-809-3500
Practice Fax: 856-809-3573

1710382668 — MR. STEPHEN W GIONTA MOT, OTR/L
Practice Location Address:

212 MARTER AVE
MOORESTOWN, NJ
08057-3114

Practice Phone: 856-291-4800
Practice Fax:

1124417670 — MRS. WENDY M. PICKARD PTA
Practice Location Address:

212 MARTER AVE
MOORESTOWN, NJ
08057-3114

Practice Phone: 856-291-4800
Practice Fax:

Directions to “200 MARTER AVENUE OPERATIONS 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.