PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC (NPI# 1649766411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649766411 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Practice Address |
800 Jessup Rd Ste 809 West Deptford NJ 08086-9354 |
| 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 | 2018-07-05 |
| 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 | NJ | 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 |
| 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 |
| 1376164400 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 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 |
800 JESSUP RD STE 809 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08086-9354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426141 | Rise Home Therapy, LLC | Physical Therapist | 82 Pelican Place, West Deptford, NJ 08086 | 2012-08-14 |
| 1417003278 | Michael Irwin Rouff | Dentist | 800 Jessup Road, Suite 805, Thorofare, NJ 08086 | 2007-01-26 |
| 1750480802 | Susan I Moreno | Physical Medicine & Rehabilitation | 196 Grove Ave Suite E, Thorofare, NJ 08086 | 2006-09-22 |
| 1245246982 | Nidhi Agrawal | Family Medicine | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2006-08-01 |
| 1407873466 | Stacey A Yandoli | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2006-07-16 |
| 1649724816 | Colleen Di Luigi | Nurse Practitioner | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2016-08-05 |
| 1841652781 | Love Your Smile Family & Aesthetic Dentistry | Dentist | 196 Grove Ave, Suite F, West Deptford, NJ 08086 | 2016-03-21 |
| 1144557067 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1000 Kings Highway, West Deptford, NJ 08086 | 2009-11-13 |
| 1457551442 | Susan I Moreno M.d. P.C. | Specialist | 196 Grove Ave, Suite E, Thorofare, NJ 08086 | 2007-07-19 |
| 1063611523 | Janine Trindade | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2007-07-15 |
| Find all providers in zip 08086 | ||||
| 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 |
|---|---|---|---|---|
| 1336576545 | Kelly A. Froio | Orthopaedic Surgery | 1007 Mantua Pike, West Deptford, NJ 08096-3963 | 2013-10-02 |
| 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 |
| 1811501521 | Genfit Medical LLC | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 765, Ridgewood, NJ 07450-3815 | 2020-09-01 |
| 1285257212 | Nexgen Wellness | Orthopaedic Surgery | 33 E Midland Ave Unit 1365, Paramus, NJ 07652-2916 | 2020-05-26 |
| 1558984955 | Orozco Orthopaedics LLC | Orthopaedic Surgery | 517 Route 72 W Ste K, Manahawkin, NJ 08050-2821 | 2020-05-20 |
| 1801417423 | Genfit Health | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 784, Ridgewood, NJ 07450-3815 | 2020-05-05 |
| 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 |
| 1386271625 | South Shore Orthotics and Bracing | Orthopaedic Surgery | 649 Shore Rd Ste 0, Somers Point, NJ 08244-2449 | 2020-03-26 |
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1881245561 | Multi-speciality Orthopedics LLC | Orthopaedic Surgery | 225 Millburn Ave Ste 104a, Millburn, NJ 07041-1712 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08086 |
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.