PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC (NPI# 1114548229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114548229 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Practice Address |
1004 Haddonfield Rd Cherry Hill NJ 08002-2746 |
| Mailing 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 | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | VERNA SHEPHERD (ADMINISTRATOR OF PHYSICIAN SERVICES) |
| Authorized Official Telephone | 8566901616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730106 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 698 Mullica Hill Rd Ste 150, Mullica Hill, NJ 08062-4454 | 2020-04-30 |
| 1750902862 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 556 Egg Harbor Rd Ste A, Sewell, NJ 08080-2326 | 2020-04-29 |
| 1225524911 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 70 Manheim Ave Ste 1, Bridgeton, NJ 08302-2136 | 2018-07-05 |
| 1649766411 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 800 Jessup Rd Ste 809, West Deptford, NJ 08086-9354 | 2018-07-05 |
| 1851887541 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 201 Tomlin Station Rd Ste C, Mullica Hill, NJ 08062-1612 | 2018-07-05 |
| 1376164400 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2020-04-29 |
| 1912493610 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 330 Front St, Elmer, NJ 08318-2143 | 2018-07-05 |
| 1699261388 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 200 Rowan Blvd, Glassboro, NJ 08028 | 2018-07-05 |
| Street Address |
1004 HADDONFIELD RD |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508854316 | Danelle Kwis | Specialist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2005-10-06 |
| 1881090298 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2014-11-12 |
| 1528492253 | Lisa Sowell | Physical Therapist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2013-08-29 |
| 1154507341 | Joan Revak | Occupational Therapist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2008-01-17 |
| 1407988553 | Township Sports Therapy & Work Hardening, P.C. | Physical Therapist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2007-03-12 |
| 1548224603 | David Christian Shields | Occupational Therapist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2006-04-14 |
| 1194788901 | Cornelia Von Lersner Benson | Occupational Therapist | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124307574 | Harold S Friedman | Orthopaedic Surgery | 12 Villagio Ct, Cherry Hill, NJ 08003-1451 | 2011-08-16 |
| 1932268224 | Cherry Hill Orthopedic Surgeons,, P.a. | Orthopaedic Surgery | 431 3rd Ave, Cherry Hill, NJ 08002-0285 | 2006-12-06 |
| 1649346776 | Henry Edward David | Orthopaedic Surgery | 1401 Rt 70 E, Ste 10 South Jersey Medical Center, Cherry Hill, NJ 08034 | 2006-11-28 |
| 1528132289 | Garden State Orthopaedics and Sports Medicine | Orthopaedic Surgery | 455 Route 70 West, Cherry Hill, NJ 08002 | 2006-11-17 |
| 1942316831 | Mark J Reiner | Orthopaedic Surgery | 431 Third Ave, Cherry Hill, NJ 08002 | 2006-08-22 |
| 1376559708 | Richard J Naftulin | Orthopaedic Surgery | Rt 38 &haddonfield Rd, Cherry Hill, NJ 08002-0285 | 2006-07-31 |
| 1891726964 | 3b Orthopaedics of N J PC | Orthopaedic Surgery | 1400 Marlton Pike E, Cherry Hill, NJ 08034-2230 | 2006-07-06 |
| 1679512883 | Leigh Hopkins | Orthopaedic Surgery | 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2624 | 2006-06-05 |
| 1245297399 | Robert G Ranelle | Orthopaedic Surgery | 455 Route 70 W, Cherry Hill, NJ 08002-3524 | 2006-05-01 |
| 1528417805 | Clinical Health Care Associates of New Jersey, PC | Orthopaedic Surgery | 1865 Marlton Pike E, 2nd Floor Orthopaedic Sugery, Cherry Hill, NJ 08003-2013 | 2016-06-08 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
Please comment or provide details below to improve the information on PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC.
| 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.