SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. (NPI# 1205951019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205951019 |
| Entity Type | Organization |
| Organization Name | SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. |
| Practice Address |
600 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 |
| Mailing Address |
One White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 6098941100 |
| Practice Fax Number | 6098941110 |
| Mailing Telephone | 6095670434 |
| Mailing Fax Number | 6095671169 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | LINDA FLAKE (PRESIDENT CEO) |
| Authorized Official Telephone | 6095670434 |
| 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 |
|---|---|---|---|
| NJ | 0071927 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891222923 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2017-05-19 |
| 1104940493 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 238 E Broadway, Salem, NJ 08079-1108 | 2007-03-19 |
| 1285758318 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. | 1 White Horse Centre, Hammonton, NJ 08037-1875 |
| Street Address |
600 PEMBERTON BROWNS MILLS RD |
| City | PEMBERTON |
| State | NJ |
| Zip Code | 08068-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979720 | Lilian Mekhail | Pediatrics | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-07-09 |
| 1396093613 | Aspen Hills Healthcare Center LLC | Psychiatric Hospital | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2012-08-16 |
| 1801142187 | Aspen Hills Healthcare Center LLC | Skilled Nursing Facility | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2012-07-24 |
| 1720236631 | Renuka Maringanti | Dentist | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2008-09-04 |
| 1407017908 | Wayne Shaw | Internal Medicine | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998502 | Deena Gutch | Counselor | 610 Brownsmills Rd, Pemberton, NJ 08068 | 2016-08-28 |
| 1467738492 | Exceptional Kidz Rehabilitation | Counselor | 43 Elizabeth St, Pemberton, NJ 08068 | 2011-10-21 |
| 1972716603 | Ellen Christine Miller | Occupational Therapy Assistant | 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 | 2007-05-08 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1053453076 | Chitra Sarvotam | Dentist | 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 | 2007-02-13 |
| 1700182847 | E Estrella Wells | Student in an Organized Health Care Education/Training Program | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2011-02-08 |
| 1417339128 | Jamie Reuter | Behavioral Analyst | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2015-06-18 |
| 1710167614 | Stephen Alan Kloss | Pharmacist | 87 Hanover St, Pemberton, NJ 08068-1131 | 2007-11-07 |
| 1639291248 | Pemberton Township School District | Local Education Agency (LEA) | 1 Egbert St, Pemberton, NJ 08068-1211 | 2007-04-04 |
| 1851635791 | Aspired Living, Inc | Day Training, Developmentally Disabled Services | 43 Elizabeth St, Pemberton, NJ 08068-1215 | 2012-11-15 |
| Find all providers in zip 08068 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.