PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC (NPI# 1750902862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750902862 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Practice Address |
556 Egg Harbor Rd Ste A Sewell NJ 08080-2326 |
| 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 |
| 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 |
| 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 |
556 EGG HARBOR RD STE A |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2326 |
| 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 |
| Find all providers in zip 08080 | ||||
| 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 |
|---|---|---|---|---|
| 1821043712 | Kenneth P Heist | Orthopaedic Surgery | 449 Hurffville Crosskeys Rd., Suite #1, Sewell, NJ 08080-9369 | 2006-05-23 |
| 1508816661 | Robert J Ponzio | Orthopaedic Surgery | 449 Hurfville-crosskeys Road, Suite 1, Sewell, NJ 08080-9369 | 2006-05-11 |
| 1578569265 | Jeffrey Peter Kovacs | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2005-06-27 |
| 1922230812 | Jeffrey Murray | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2009-08-11 |
| 1811006885 | John K Mariani | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2006-08-30 |
| 1295844348 | Enrico A Marcelli | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C-4, Sewell, NJ 08080-2359 | 2006-08-30 |
| 1972520765 | Ponzio Orthopedics | Orthopaedic Surgery | 449 Hurffville Crosskeys Rd, Suite 1, Sewell, NJ 08080-9369 | 2006-07-16 |
| 1316997331 | South Jersey Sports Medicine Center PC | Orthopaedic Surgery | 556 Egg Harbor Rd, Suite A, Sewell, NJ 08080-2326 | 2006-05-11 |
| 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 |
| 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 |
| 1558913798 | Seaview Orthopaedics & Medical Associates LLP | Orthopaedic Surgery | 2139 Route 35 Ste 140, Holmdel, NJ 07733-1094 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.