SMART OF SOUTH JERSEY, LLC (NPI# 1235503590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235503590 |
| Entity Type | Organization |
| Organization Name | SMART OF SOUTH JERSEY, LLC |
| Practice Address |
304 Joseph Ave Linwood NJ 08221-1519 |
| Practice Telephone | 6099043456 |
| Practice Fax Number | 6097884100 |
| Mailing Telephone | 6099043456 |
| Mailing Fax Number | 6097884100 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | MR. GARY J COSLOP JR. (EXECUTIVE) |
| Authorized Official Telephone | 6099043456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
304 JOSEPH AVE |
| City | LINWOOD |
| State | NJ |
| Zip Code | 08221-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1851922579 | Emmanuel Fequiere Larose | Point of Service | 173 Norman Rd, Newark, NJ 07106-3309 | 2020-01-31 |
| 1487119905 | Tripoint Medical Care | Point of Service | 680 Broadway Ste 506, Paterson, NJ 07514-1530 | 2019-02-08 |
| 1740776301 | Victoria Vanzetta | Point of Service | 22 Crag Pl, Ringwood, NJ 07456-1814 | 2018-07-07 |
| 1316486053 | Penny M Beil | Point of Service | 371 N Beverwyck Rd, Parsippany, NJ 07054-1537 | 2017-02-14 |
| 1184166373 | Saunders Music Studio, LLC | Point of Service | 214 Maxwell Ave, Hightstown, NJ 08520-3229 | 2016-11-06 |
| 1437600574 | Ferry St Chiropractic and Physical Therapy | Point of Service | 236 Ferry St, Newark, NJ 07105-5401 | 2016-10-24 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1053868513 | Feroza Hossain, Inc | Point of Service | 256 Bunn Drive, Suite 3a, Princeton, NJ 08540 | 2016-09-01 |
| 1801340567 | Independence: A Family of Services, Inc. | Point of Service | 15 Smalley Ter, Irvington, NJ 07111-3808 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SMART OF SOUTH JERSEY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.