South Jersey Medical Associates, P.a.
Internal Medicine, Gastroenterology in Blackwood, New Jersey
1669525960- Practice location
- 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625
- Phone
- 856-228-0144
- Fax
- 856-232-0320
- Last updated
- September 11, 2025
South Jersey Medical Associates, P.a. is a healthcare organization based in Blackwood, NJ. South Jersey Medical Associates, P.a. practices in Blackwood, NJ. The NPI Number for South Jersey Medical Associates, P.a. is 1669525960 and holds a License No. mb05610900 (NJ). The current practice location address for South Jersey Medical Associates, P.a. is 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625 and can be reached out via phone at 856-228-0144 and via fax at 856-232-0320.
Provider Profile Details
- NPI Number
- 1669525960
- Provider Name
- South Jersey Medical Associates, P.a.
- Provider Entity Type
- Organization
- Address
- 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Ronald George Intelisano, DO · President · 856-228-0144
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1504 Blackwood Clementon RD
Blackwood, NJ 08012-4625 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
Provider Business Mailing Address Details
- Address
- 1504 Blackwood Clementon RD
Blackwood, NJ 08012-4625 - City
- Blackwood
- State
- NJ
- Zip
- 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
License Information
- License Number (1)
- mb05610900
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- mb05610900
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of South Jersey Medical Associates, P.a.?
The NPI number of South Jersey Medical Associates, P.a. is 1669525960. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of South Jersey Medical Associates, P.a.?
South Jersey Medical Associates, P.a. is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number mb05610900.
Where does South Jersey Medical Associates, P.a. practice?
The practice location is 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625. The office can be reached at 856-228-0144 (phone) or 856-232-0320 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669525960 directly on the NPPES registry website.