VIRTUA MEDICAL GROUP, PA (NPI# 1386067130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386067130 |
| Entity Type | Organization |
| Organization Name | VIRTUA MEDICAL GROUP, PA |
| Practice Address |
1311 Fairview Blvd Ste B Delran NJ 08075-1474 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8567648804 |
| Practice Fax Number | 8569833894 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | JOHN MARK MATSINGER (MBA, EVP, 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 | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 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 |
| 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 |
| 1649226515 | Virtua Medical Group, Pa | Anesthesiology | 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 | 2006-05-25 |
| Street Address |
1311 FAIRVIEW BLVD STE B |
| City | DELRAN |
| State | NJ |
| Zip Code | 08075-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
| 1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
| 1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
| 1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
| 1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
| 1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
| 1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
| 1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
| 1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
| 1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
| Find all providers in zip 08075 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689668 | Multi Disciplinary Specialists LLC | Surgery | 201 Route 17 N. 11th Floor, Suite 11019, Rutherford, NJ 07070-2574 | 2015-01-16 |
| 1801119417 | Hand Treatment Center Nj | Surgery | 1270 Route 35 Ste 2, Middletown, NJ 07748-2014 | 2010-03-10 |
| 1023127537 | Mark A Gurland | Surgery | 216 Engle Street, Englewood, NJ 07631 | 2006-08-29 |
| 1548295413 | North Jersey Hand Surgery Pa | Surgery | 75 Bloomfield Avenue, Suite 102, Denville, NJ 07834-2735 | 2006-07-11 |
| 1235548454 | Paramus Hand Surgery | Surgery | 140 N Rte 17, Suite 323, Paramus, NJ 07652-2809 | 2014-08-13 |
| 1396094934 | Hand & Wrist Surgery of Nj, LLC | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2012-08-29 |
| 1053581074 | Hand & Trauma Institute | Surgery | 663 Palisade Ave, Suite 302, Cliffside Park, NJ 07010-3012 | 2008-03-05 |
| 1972673713 | Hand Surgery & Rehabilitation Center of New Jersey, Pa | Surgery | 5000 Sagemore Dr, Suite 103, Marlton, NJ 08053-4307 | 2006-11-09 |
| 1780697698 | Alexander Haselkorn | Surgery | 750 Broadway, Suite D, Paterson, NJ 07514-1353 | 2006-08-14 |
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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.