SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC (NPI# 1578687851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578687851 |
| Entity Type | Organization |
| Organization Name | SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC |
| Practice Address |
932 S Main St Pleasantville NJ 08232-3646 |
| Mailing Address |
One White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 6093830880 |
| Practice Fax Number | 6093830658 |
| Mailing Telephone | 6095670434 |
| Mailing Fax Number | 6095671169 |
| Enumeration Date | 2007-03-19 |
| 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 | 0031755 | 05 | |
| EMPIRE MEDICARE | 038156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265557326 | Southern Jersey Family Medical Centers, Inc | Clinic/Center | 651 High St, Burlington City, NJ 08016-2737 | 2007-03-20 |
| 1568473973 | Southern Jersey Family Medical Centers, Inc | Clinic/Center | 860 S White Horse Pike, Hammonton, NJ 08037-2018 | 2006-08-10 |
| 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 |
932 S MAIN ST |
| City | PLEASANTVILLE |
| State | NJ |
| Zip Code | 08232-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750849386 | Shekila Thomas | Nurse Practitioner | 932 S Main St, Pleasantville, NJ 08232-3646 | 2019-03-01 |
| 1538686241 | Kelsey Schroeder | Physician Assistant | 932 S Main St, Pleasantville, NJ 08232-3646 | 2017-08-23 |
| 1568832475 | Ashley Lyn Harris | Nurse Practitioner | 932 S Main St, Pleasantville, NJ 08232-3646 | 2015-10-05 |
| 1457736720 | Katherine Lovell Williams | Nurse Practitioner | 932 S Main St, Pleasantville, NJ 08232-3646 | 2015-07-28 |
| 1023306495 | Anagha Kishor Desai | Obstetrics & Gynecology | 932 S Main St, Pleasantville, NJ 08232-3646 | 2011-07-19 |
| 1568799237 | Leila Shakeri | Dentist | 932 S Main St, Pleasantville, NJ 08232-3646 | 2009-11-17 |
| 1053526806 | Barry P Skaler | Dentist | 932 S Main St, Pleasantville, NJ 08232-3646 | 2007-05-14 |
| 1003921594 | Nancy Merle | Family Medicine | 932 S Main St, Pleasantville, NJ 08232-3646 | 2006-08-21 |
| 1700999091 | Katherine S. Yon | Pediatrics | 932 S Main St, Pleasantville, NJ 08232-3646 | 2006-08-17 |
| 1396792438 | Victor Yaw Marfo | Pediatrics | 932 S Main St, Pleasantville, NJ 08232-3646 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538533088 | Caringhouse Projects, Inc | Respite Care | 411b West Delilah Road, Pleasantville, NJ 08232 | 2015-11-20 |
| 1295108249 | Caringhouse Projects, Inc | Respite Care | 700 Franklin Blvd, Apt 601, Pleasantville, NJ 08232 | 2015-11-12 |
| 1205209251 | Caringhouse Projects, Inc | Respite Care | 411a West Delilah Road, Pleasantville, NJ 08232 | 2015-11-12 |
| 1215368568 | Priority Care Transport LLC | Non-emergency Medical Transport (VAN) | 590 W. Delilah Rd, Pleasantville, NJ 08232 | 2013-12-11 |
| 1053601773 | Bhavesh C Bhatt | Pharmacist | 855 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2011-04-14 |
| 1407158694 | Tricare Medical Transportation, LLC | Ambulance | 825 Noahs Road, Pleasantville, NJ 08232 | 2010-11-22 |
| 1174833495 | Laverne Graves-washington | Registered Nurse | 268 North New Rd., Pleasantville, NJ 08232 | 2010-10-20 |
| 1619284429 | Bhakti Chaudhari | Pharmacist | 855-857 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2010-09-01 |
| 1013222546 | Pradip N Agrawal | Pharmacist | 505 Black Horse Pike, Pleasantville, NJ 08232 | 2010-08-09 |
| 1144533845 | Arnold Snyder | Pharmacist | 505 Blackhorse Pk, Pleasantville, NJ 08232 | 2010-07-22 |
| Find all providers in zip 08232 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1154870160 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Clinic/Center | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2016-10-03 |
| 1053860130 | John Brooks Recovery Center | Clinic/Center | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2016-09-29 |
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| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1780148395 | Horizon Health Center, Inc. | Clinic/Center | 55 Meadowlands Pkwy Ste 200, Secaucus, NJ 07094-2977 | 2019-01-28 |
| 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 | ||||
| City | PLEASANTVILLE |
| Zip Code | 08232 |
Please comment or provide details below to improve the information on SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
| 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.