PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC (NPI# 1376164400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164400 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Practice Address |
298 S Delsea Dr Vineland NJ 08360-4568 |
| 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 |
| 1114548229 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 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 |
298 S DELSEA DR |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499012 | Mark K Levitsky | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2005-10-04 |
| 1366056111 | Brooke Chisholm | Physical Therapist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2020-08-31 |
| 1396308029 | Rachel M Gavigan | Occupational Therapist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2019-04-18 |
| 1851882666 | Premier Orthopaedic Spine Associates, LLC | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360 | 2018-05-29 |
| 1043597800 | Jayme N White | Physician Assistant | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2011-11-08 |
| 1073836656 | Justin D Ditheodore | Physical Therapist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2010-03-10 |
| 1215182332 | Eddie S Wu | Student in an Organized Health Care Education/Training Program | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2008-11-18 |
| 1225222011 | Chiara Mariani | Specialist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2007-09-05 |
| 1205029295 | Jacquelyn L Mcalpin | Podiatrist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2007-08-22 |
| 1174720536 | Peter Anthony Sarkos | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| 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 |
|---|---|---|---|---|
| 1235242934 | Rahul V Shah | Orthopaedic Surgery | 298 S Delsea Drive, Vineland, NJ 08360-4568 | 2006-08-16 |
| 1962499012 | Mark K Levitsky | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2005-10-04 |
| 1134128580 | Joseph Philip Bernardini | Orthopaedic Surgery | 994 West Sherman Ave, Vineland, NJ 08360-6932 | 2005-07-19 |
| 1326667403 | Elizabeth Ford | Orthopaedic Surgery | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-09 |
| 1629607650 | Daniel Stephen Manganaro | Orthopaedic Surgery | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-02 |
| 1689136012 | Jenna Aviv Feldman | Orthopaedic Surgery | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2019-04-04 |
| 1851882666 | Premier Orthopaedic Spine Associates, LLC | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360 | 2018-05-29 |
| 1427309210 | Eric Justin Buxbaum | Orthopaedic Surgery | 1505 W Sherman Ave, Box 93, Vineland, NJ 08360-6912 | 2012-09-20 |
| 1083932768 | Orthopaedic Specialty Group LLC | Orthopaedic Surgery | 994 W Sherman Ave, Building 1, Vineland, NJ 08360-6932 | 2010-05-05 |
| 1992822324 | Ralph Vincent Franciosi | Orthopaedic Surgery | 1676 E Landis Ave, Vineland, NJ 08361-2943 | 2007-03-22 |
| Find all providers in VINELAND | ||||
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.