COMPLETE CARE OF SOUTH JERSEY (NPI# 1518320555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518320555 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE OF SOUTH JERSEY |
| Practice Address |
310 Route 45 Salem NJ 08079-2064 |
| Mailing Address |
3241 Sarum Farm Ln Garnet Valley PA 19060-2258 |
| Practice Telephone | 8563396038 |
| Mailing Telephone | 8563396038 |
| Mailing Fax Number | 8564941549 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | DR. WAMIQ SULTAN (OWNER) |
| Authorized Official Telephone | 8569120412 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00328900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA06336400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
310 ROUTE 45 |
| City | SALEM |
| State | NJ |
| Zip Code | 08079-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1174926273 | Wamiq Sultan, Inc | General Practice | 310 Route 45, Salem, NJ 08079-2064 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378717 | Northwest Renal Clinic, Inc. | Internal Medicine | 925 Commercial St Se Ste 110, Salem, OR 97302-4172 | 2020-02-13 |
| 1982662052 | Parkland Physician Services Inc | Internal Medicine | 18 Pelham Rd, Salem, NH 03079-4818 | 2006-05-01 |
| 1992794515 | Ana Stankovic | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2005-10-17 |
| 1649279035 | Denis Privalov | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3998 | 2005-07-18 |
| 1326400656 | Center for Kidney and Metabolic Disorders Pllc | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2016-03-25 |
| 1285885160 | Hima Bindu Yalamanchili | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2008-10-09 |
| 1649436585 | Ken Jongho Park | Internal Medicine | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2008-07-30 |
| 1710164587 | Andrea R Moore | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3998 | 2008-01-23 |
| 1568668929 | Yekaterina Gincherman | Internal Medicine | 875 Oak St Se, Suite 5070, Salem, OR 97301-3975 | 2007-06-22 |
| 1467672261 | Kidney Care Physicians LLC | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3975 | 2007-04-26 |
| Find all providers in SALEM | ||||
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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.