VIRTUA MEDICAL GROUP, PA


Address: 100 Kings Way E Ste D3a, Sewell, NJ 08080-2237
Phone: 8563418495

VIRTUA MEDICAL GROUP, PA (NPI# 1417219619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417219619
Entity Type Organization
Organization Name VIRTUA MEDICAL GROUP, PA
Practice Address 100 Kings Way E Ste D3a
Sewell
NJ 08080-2237
Mailing Address 301 Lippincott Dr Ste 410
Marlton
NJ 08053-4197
Practice Telephone 8563418495
Practice Fax Number 8563418496
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Enumeration Date 2012-06-13
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0232351 05

Other Provider IDs and Locations

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
1649226515 Virtua Medical Group, Pa Anesthesiology 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 2006-05-25

Office Location

Street Address 100 KINGS WAY E STE D3A
City SEWELL
State NJ
Zip Code 08080-2237

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679180301 Peter Ansong Pharmacist 500 Egg Harbor Road, Sewell, NJ 08080 2020-09-27
1477018752 Shi-iii Washington Township LLC Alzheimer Center (Dementia Center) 339 Greentree Road, Washington Township, NJ 08080 2019-01-31
1245741495 Assoc. for Retarded Citizens. Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Fawn Drive, Sewell, NJ 08080 2017-10-16
1851802029 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 275 Greentree Road, Sewell, NJ 08080 2017-10-16
1598284770 Bryan Hendricks Psychologist 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 2017-09-19
1912426339 Mary Faralli Speech-Language Pathologist 24 Upton Way, Sewell, NJ 08080 2017-09-18
1669990578 Oaks Integrated Care Clinic/Center 322 Fishpond Rd, Sewell, NJ 08080 2017-08-31
1972032316 Nutan K Ravani Social Worker 3 Heritage Valley Drive, Sewell, NJ 08080 2017-06-08
1447784038 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 224 West Warren Avenue, Sewell, NJ 08080 2017-04-20
1326572173 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 363 Ganttown Road, Turnersville, NJ 08080 2017-04-19
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Taxonomy Information

Taxonomy Code 2086S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgery of the Hand

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City SEWELL
Zip Code 08080

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Dataset Information

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.

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