SOUTH JERSEY ASC, LLC


Address: 2950 College Dr, Suite 2e, Vineland, NJ 08360-6933
Phone: 8554208241

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
96562 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ ORG ID NUMBER 96562 01

Office Location

Street Address 2950 COLLEGE DR
SUITE 2E
City VINELAND
State NJ
Zip Code 08360-6933

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City VINELAND
Zip Code 08360

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Dataset Information

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.

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