SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. (NPI# 1891222923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891222923 |
| Entity Type | Organization |
| Organization Name | SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. |
| Practice Address |
3003 English Creek Ave Ste C6 Egg Harbor Township NJ 08234-4818 |
| Mailing Address |
1 N White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 6094813185 |
| Practice Fax Number | 6095690104 |
| Mailing Telephone | 6095670434 |
| Mailing Fax Number | 6095671169 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | LINDA Y FLAKE (CEO) |
| Authorized Official Telephone | 6095670434 |
| Authorized Official Credential | MBA |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205951019 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2007-03-20 |
| 1104940493 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 238 E Broadway, Salem, NJ 08079-1108 | 2007-03-19 |
| 1285758318 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 | 2007-03-16 |
| 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 |
3003 ENGLISH CREEK AVE STE C6 |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295831386 | Alrene E Robinson-campbell | Dentist | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2006-09-15 |
| 1326505298 | Nekia Ebony Love | Nurse Practitioner | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2019-02-26 |
| 1649762675 | Mayelin Del Carmen Nieves | Social Worker | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2018-06-05 |
| 1578954558 | Luz Matos | Social Worker | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2015-02-11 |
| 1497152219 | Stephanie Torres | Pediatrics | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2014-11-21 |
| 1366781569 | Sameerah Siddequah Harris | Nurse Practitioner | 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234-4818 | 2013-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 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 | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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.