SOUTH JERSEY ASC, LLC (NPI# 1306240460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306240460 |
Entity Type | Organization |
Organization Name | SOUTH JERSEY ASC, LLC |
Practice Address |
2950 College Dr Suite 2e Vineland NJ 08360-6933 |
Practice Telephone | 8554208241 |
Mailing Telephone | 8554208241 |
Enumeration Date | 2014-10-20 |
Last Update Date | 2015-02-26 |
Authorized Official Name | DR. CHRISTOPHER LEE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8554208241 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
96562 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | ORG ID NUMBER | 96562 | 01 |
Street Address |
2950 COLLEGE DR SUITE 2E |
City | VINELAND |
State | NJ |
Zip Code | 08360-6933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205828365 | David Seth Shields | Internal Medicine | 2950 College Dr, Suite 2a, Vineland, NJ 08360-6933 | 2005-08-16 |
1225498355 | South Jersey Foot and Ankle Specialists LLC | Podiatrist | 2950 College Dr, Suite 2h, Vineland, NJ 08360-6933 | 2016-03-02 |
1871905133 | Robyn Cummings | Nurse Practitioner | 2950 College Dr, Suite 2g, Vineland, NJ 08360-6933 | 2014-05-21 |
1841624566 | Alexandrea Perry Jared I | Physician Assistant | 2950 College Dr, Suite 2e, Vineland, NJ 08360-6933 | 2013-08-29 |
1376884254 | Maria Corazon Glover | Family Medicine | 2950 College Dr, Suite 2e, Vineland, NJ 08360-6933 | 2013-03-03 |
1780934042 | Raechel Ann Fockler | Obstetrics & Gynecology | 2950 College Dr, Suite 2f, Vineland, NJ 08360-6933 | 2012-09-14 |
1699041343 | Patti Jo Jaiyeola | Pediatrics | 2950 College Dr, Suite 2b, Vineland, NJ 08360-6933 | 2012-03-27 |
1447529045 | Jignasa Ripal Chikani | Pediatrics | 2950 College Dr, Unit # 2c, Vineland, NJ 08360-6933 | 2011-12-28 |
1497024293 | Danielle Maria Scheschuk | Plastic Surgery | 2950 College Dr, Suite 1b, Vineland, NJ 08360-6933 | 2011-12-22 |
1851672778 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 2950 College Dr, Ste 2f, Vineland, NJ 08360-6933 | 2011-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
Find all providers in zip 08360 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326272774 | Premier Orthopaedic Associates Surgical Center, LLC | Clinic/Center | 352 S Delsea Drive, Vineland, NJ 08360 | 2009-05-13 |
1528024114 | Ambulatory Care Center Pa | Clinic/Center | 1133 East Chestnut Ave., Vineland, NJ 08360 | 2006-04-24 |
1255376653 | Endoscopy Center of South Jersey P C | Clinic/Center | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2006-06-19 |
1902863723 | Oak & Main Surgicenter LLC | Clinic/Center | 907 N Main Rd, Bldg C, Vineland, NJ 08360-8200 | 2006-04-26 |
1396700944 | Watts Plastic Surgery Association, P.C. | Clinic/Center | 1051 W Sherman Ave, Bldg. 2 Ste A, Vineland, NJ 08360-6931 | 2006-04-18 |
1558341032 | South Jersey Surgicenter, Inc | Clinic/Center | 2835 S Delsea Dr, Vineland, NJ 08360-7079 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811599 | Freedom Surgical Center, LLC | Clinic/Center | 1455 Broad St Ste 100, Bloomfield, NJ 07003-3039 | 2020-11-02 |
1477153237 | Jersey Ambulatory & Surgical Partners LLC | Clinic/Center | 1167 Mcbride Ave Ste 4, Woodland Park, NJ 07424-2543 | 2020-10-29 |
1144834987 | Center for Special Surgery of Lyndhurst LLC | Clinic/Center | 70 Ridge Rd Fl 2, Lyndhurst, NJ 07071-1216 | 2020-08-31 |
1164031118 | Progressive Surgical Center LLC | Clinic/Center | 630 E Palisade Ave Ste 2-100, Englewood, NJ 07632-1842 | 2020-07-27 |
1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
1023642154 | Nova Surgery Center LLC | Clinic/Center | 107 Monmouth Rd Ste 103, West Long Branch, NJ 07764-1021 | 2020-02-27 |
1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
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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.