SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC (NPI# 1598939506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598939506 |
| Entity Type | Organization |
| Organization Name | SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC |
| Practice Address |
1125 Atlantic Ave Atlantic City NJ 08401-4806 |
| Mailing Address |
One White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 6093480066 |
| Practice Fax Number | 6093481157 |
| Mailing Telephone | 6095670434 |
| Mailing Fax Number | 6095671169 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | LINDA FLAKE (PRESIDENT CEO) |
| Authorized Official Telephone | 6095670434 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE NGS | 31-1883 | 01 | |
| NJ | 0179957 | 05 |
| Street Address |
1125 ATLANTIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972687085 | Andrea S. Palermo | Pediatrics | 1125 Atlantic Ave, Atlantic City, NJ 08401 | 2006-10-25 |
| 1487206983 | Jessica Haley | Nurse Practitioner | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2019-07-15 |
| 1518452457 | Kate Hulbert | Advanced Practice Midwife | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2018-06-23 |
| 1962937326 | Youth Advocate Programs, Inc. | Counselor | 1125 Atlantic Ave, Suite711, Atlantic City, NJ 08401-4806 | 2017-04-24 |
| 1639603384 | Ada Contreras | Nurse Practitioner | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2017-04-19 |
| 1619401833 | Kelsey Marie Denning | Nurse Practitioner | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2017-04-13 |
| 1164800017 | Southern Jersey Family Medical Centers, Inc | Nurse Practitioner | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2015-05-12 |
| 1649403213 | Gregory Mayer | Counselor | 1125 Atlantic Ave, Atlantic City, NJ 08401-4806 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1063961076 | John Brooks Recovery Center | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-10-03 |
| 1285758318 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1780148395 | Horizon Health Center, Inc. | Clinic/Center | 55 Meadowlands Pkwy Ste 200, Secaucus, NJ 07094-2977 | 2019-01-28 |
| 1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
| 1447746862 | Project H.o.p.e., Inc. | Clinic/Center | 1494 Federal St, Camden, NJ 08105-1753 | 2018-07-09 |
| 1194226373 | Ocean Health Initiatives, Inc. | Clinic/Center | 20 Jackson St Ste E, Freehold, NJ 07728-2476 | 2018-02-23 |
| 1033653860 | Project H.o.p.e., Inc. | Clinic/Center | 1514 Federal St, Camden, NJ 08105-1712 | 2016-12-13 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| 1679945760 | Henry J. Austin Health Center, Inc. | Clinic/Center | 314-316 East State Street, Trenton, NJ 08608-1810 | 2015-10-28 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
Please comment or provide details below to improve the information on SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC.
| 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.