Active Health Marlton LLC
NPI 1265161905ActiveOrganization· Family Medicine· Marlton, NJ
Family Medicine in Marlton, New Jersey, registered in NPPES in June 2022. The authorized official on file is Robert Olivieri, Authorized Official. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1265161905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2022 |
| Last updated in NPPES | Jun 8, 2022 |
| Certified by provider | Jun 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Chiropractor | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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