PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC


Address: 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306
Phone: 8566901616

PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC (NPI# 1396812574) 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) 1396812574
Entity Type Organization
Organization Name PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
Practice Address 352 S Delsea Dr Ste C
Vineland
NJ 08360-5306
Practice Telephone 8566901616
Practice Fax Number 8566901089
Mailing Telephone 8566901616
Mailing Fax Number 8566901089
Enumeration Date 2006-11-30
Last Update Date 2020-04-29
Authorized Official Name VERNA M SHEPHERD (ADMINISTRATOR OF PHYSICIAN SERVICES)
Authorized Official Telephone 8566901616
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery MA63862 NJ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1004 Haddonfield Rd, Cherry Hill, NJ 080022746 8566901616 8566901089
298 S Delsea Dr, Vineland, NJ 083604568 8566901616 8566901089
556 Egg Harbor Rd Ste A, Sewell, NJ 080802326 8566901616 8566901089
698 Mullica Hill Rd Ste 150, Mullica Hill, NJ 080624454 8566901616 8566901089
698 Mullica Hill Road, Suite 411, Mullica Hill, NJ 08062 8566901616 8566901089

Office Location

Street Address 352 S DELSEA DR STE C
City VINELAND
State NJ
Zip Code 08360-5306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679648646 Kimberley Yvette Smith Physical Medicine & Rehabilitation 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2006-11-22
1891158531 John B Ferraro Physician Assistant 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2016-03-31
1144563818 Mark Ayzenberg Orthopaedic Surgery 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2013-04-01
1770837833 Adam Zucconi Family Medicine 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2012-10-28
1033447792 Danielle K Francis Physician Assistant 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2009-11-18
1275745655 Laurence N Fitzhenry Iv Anesthesiology 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 2007-05-05

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
Find all providers in zip 08360

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235242934 Rahul V Shah Orthopaedic Surgery 298 S Delsea Drive, Vineland, NJ 08360-4568 2006-08-16
1962499012 Mark K Levitsky Orthopaedic Surgery 298 S Delsea Dr, Vineland, NJ 08360-4568 2005-10-04
1134128580 Joseph Philip Bernardini Orthopaedic Surgery 994 West Sherman Ave, Vineland, NJ 08360-6932 2005-07-19
1376164400 Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC Orthopaedic Surgery 298 S Delsea Dr, Vineland, NJ 08360-4568 2020-04-29
1326667403 Elizabeth Ford Orthopaedic Surgery 1505 W Sherman Ave, Vineland, NJ 08360-7059 2020-04-09
1629607650 Daniel Stephen Manganaro Orthopaedic Surgery 1505 W Sherman Ave, Vineland, NJ 08360-7059 2020-04-02
1689136012 Jenna Aviv Feldman Orthopaedic Surgery 1505 W Sherman Ave, Vineland, NJ 08360-7059 2019-04-04
1851882666 Premier Orthopaedic Spine Associates, LLC Orthopaedic Surgery 298 S Delsea Dr, Vineland, NJ 08360 2018-05-29
1427309210 Eric Justin Buxbaum Orthopaedic Surgery 1505 W Sherman Ave, Box 93, Vineland, NJ 08360-6912 2012-09-20
1083932768 Orthopaedic Specialty Group LLC Orthopaedic Surgery 994 W Sherman Ave, Building 1, Vineland, NJ 08360-6932 2010-05-05
Find all providers in VINELAND

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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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