VIRTUA MEDICAL GROUP, PA (NPI# 1376093682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376093682 |
| Entity Type | Organization |
| Organization Name | VIRTUA MEDICAL GROUP, PA |
| Practice Address |
1613 Route 38 1st Fl Back Lumberton NJ 08048 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8555487634 |
| Practice Fax Number | 8563557127 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-07-23 |
| 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 | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
NJ | Podiatric Medicine & Surgery Service Providers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0222135 | 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 |
1613 ROUTE 38 1ST FL BACK |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226495 | George O Chatyrka | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-24 |
| 1619134103 | Prasad R Medavarapu | Pharmacist | 1613 Route 38, Lumberton, NJ 08048-2921 | 2008-05-21 |
| 1104097880 | Mt Holly Eye Physicians and Surgeons | Eyewear Supplier (Equipment, not the service) | 1613 Route 38, Lumberton, NJ 08048-2921 | 2008-03-20 |
| 1932306024 | Mt Holly Eye Physicians & Surgeons Professional Association | Ophthalmology | 1613 Route 38, Lumberton, NJ 08048 | 2007-07-02 |
| 1801009766 | Mt Holly Eye Physicians & Surgeons | Eyewear Supplier (Equipment, not the service) | 1613 Route 38, Lumberton, NJ 08048-2921 | 2007-05-08 |
| 1770605040 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1613 Route 38, Lumberton, NJ 08048-2921 | 2007-04-06 |
| 1124138938 | Alyssa Heimerling | Physical Therapy Assistant | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-08-30 |
| 1063441400 | Charles A Kastenberg | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-30 |
| 1235168709 | Thomas D Godleski | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-30 |
| 1508892845 | Sapna Jain-bhalodia | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477579761 | Patrick J. Ricotta | Podiatrist | 815 Wesley Pines Rd., Lumberton, NC 28358-2359 | 2006-07-14 |
| 1255868980 | Cumberland County Hospital System Inc | Podiatrist | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 | 2017-05-12 |
| 1396002218 | Austin Paul Matthews | Podiatrist | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 | 2012-04-17 |
| 1093948911 | Foot and Ankle Institute of Robeson County | Podiatrist | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 | 2009-08-26 |
| 1942251855 | Matthew Thompson | Podiatrist | 4850 Fayetteville Rd, Lumberton, NC 28358-2100 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| 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.