South Jersey Sports Medicine Center PC
Non-Pharmacy Dispensing Site in Sewell, New Jersey
1700336468- Practice location
- 556 Egg Harbor RD, Suite A, Sewell, NJ 08080-2326
- Phone
- 856-589-0650
- Fax
- —
- Last updated
- November 21, 2016
South Jersey Sports Medicine Center PC is a healthcare organization based in Sewell, NJ. South Jersey Sports Medicine Center PC practices in Sewell, NJ. The NPI Number for South Jersey Sports Medicine Center PC is 1700336468 and holds a License No. 25MB04705300 (NJ). The current practice location address for South Jersey Sports Medicine Center PC is 556 Egg Harbor RD, Suite A, Sewell, NJ 08080-2326 and can be reached out via phone at 856-589-0650.
Provider Profile Details
- NPI Number
- 1700336468
- Provider Name
- South Jersey Sports Medicine Center PC
- Provider Entity Type
- Organization
- Address
- 556 Egg Harbor RD, Suite A, Sewell, NJ 08080-2326
- Phone Number
- 856-589-0650
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- No
- Authorized Official
- Robert Falconiero, DO · Managing Member · 609-703-5097
- Provider Enumeration Date
- October 6, 2016
- Last Update Date
- November 21, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 556 Egg Harbor RD
Suite A
Sewell, NJ 08080-2326 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2326
- Phone Number
- 856-589-0650
Provider Business Mailing Address Details
- Address
- 556 Egg Harbor RD
Suite A
Sewell, NJ 08080-2326 - City
- Sewell
- State
- NJ
- Zip
- 08080-2326
License Information
- License Number
- 25MB04705300
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · 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 Sports Medicine Center PC?
The NPI number of South Jersey Sports Medicine Center PC is 1700336468. It was assigned on October 6, 2016 and is currently active in the NPPES registry.
What is the specialty of South Jersey Sports Medicine Center PC?
South Jersey Sports Medicine Center PC is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MB04705300.
Where does South Jersey Sports Medicine Center PC practice?
The practice location is 556 Egg Harbor RD, Suite A, Sewell, NJ 08080-2326. The office can be reached at 856-589-0650 (phone).
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 1700336468 directly on the NPPES registry website.