VIRTUA MEDICAL GROUP, PA (NPI# 1649226515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226515 |
| Entity Type | Organization |
| Organization Name | VIRTUA MEDICAL GROUP, PA |
| Practice Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8563550340 |
| Practice Fax Number | 8563550330 |
| Mailing Telephone | 8563550230 |
| Mailing Fax Number | 8567620774 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | JOHN MARK MATSINGER (EVP, SYSTEM CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 8563550340 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0222135 | 05 | |
| NJ | 0232351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342507 | Virtua Medical Group, Pa | Orthopaedic Surgery | 1315 Route 9 S Ste 101, Cape May Court House, NJ 08210-2931 | 2020-10-01 |
| 1386194694 | Virtua Medical Group, Pa | Durable Medical Equipment & Medical Supplies | 6981 N Park Dr Ste 200c, Pennsauken, NJ 08109-4201 | 2016-10-11 |
| 1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
| 1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1912457755 | Virtua Medical Group, Pa | Clinic/Center | 158 Route 73, Suite B, Voorhees, NJ 08043 | 2016-10-05 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1386067130 | Virtua Medical Group, Pa | Orthopaedic Surgery | 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 | 2014-01-30 |
| 1316368012 | Virtua Medical Group, Pa | Orthopaedic Surgery | 200 Bowman Dr Ste E140, Voorhees, NJ 08043-9631 | 2013-12-23 |
| 1417219619 | Virtua Medical Group, Pa | Orthopaedic Surgery | 100 Kings Way E Ste D3a, Sewell, NJ 08080-2237 | 2012-06-13 |
| Street Address |
301 LIPPINCOTT DR STE 410 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134610967 | Optimum Personal Care Physicians LLC | Family Medicine | 538 Lippincott Dr Bldg E, Marlton, NJ 08053 | 2018-05-29 |
| 1477098663 | Hydration Clinics of America | Family Medicine | 538 Lippincott Dr, Blg E, Marlton, NJ 08053-4806 | 2016-12-27 |
| 1699186114 | John Robert Styczynski | Family Medicine | 401 Route 73 North, 30 Lake Center, Ste 100, Marlton, NJ 08053 | 2014-05-19 |
| 1255626271 | James A Romano | Family Medicine | 5 Eves Dr Ste 300, Marlton, NJ 08053-3135 | 2011-06-17 |
| 1306141585 | Robin Cylinthia Mckinney | Family Medicine | 1001 Route 73 N, Marlton, NJ 08053-4524 | 2011-01-19 |
| 1689985806 | Deborah Anne Ubele | Family Medicine | 701 Route 73 N, Marlton, NJ 08053-3464 | 2010-06-23 |
| 1033309562 | Sham Rustom Bajina | Family Medicine | 765 Route 70 East, Cfg Health Systems LLC Bldg A Suite 101, Marlton, NJ 08053 | 2007-07-31 |
| 1326258732 | Nawid E. Najafi | Family Medicine | 601 Route 73 N, Suite 101, Marlton, NJ 08053-3470 | 2007-05-23 |
| 1376637553 | Andrew Paul Pecora | Family Medicine | 73 N Maple Ave Ste B, Marlton, NJ 08053-1782 | 2006-10-03 |
| 1598862419 | Wan Lo | Family Medicine | 525 Rt 73 South, Suite 301, Marlton, NJ 08053 | 2006-09-20 |
| Find all providers in MARLTON | ||||
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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.