Organization Active NPI

South Jersey Musculoskeletal Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Sewell, NJ
National Provider Identifier
1013136456
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLC
Practice address
556 Egg Harbor Rd Ste B
Sewell, NJ 08080-2326
Phone
(856) 256-7620
Fax
(856) 256-7621
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth McCarthy, RN
Title
Interim Administrator
Phone
(856) 256-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

556 Egg Harbor Rd Ste B
Sewell, NJ 08080-2326

Mailing address

556 Egg Harbor Road
Sewell, NJ 08080

Other names 1

  • Advanced Surgical Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000208 NJ Part B Supplier - Ambulatory Surgical Center 2466529508 Practice locations: Sewell, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Surgical Institute Dba South Jersey Musculoskeletal Institute LLCCCN 31C0001233
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1069479South Jersey Musculoskeletal Institute LLC556 Egg Harbor Road, Sewell, NJ 08080Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

860 Route 168
Ste 100
Turnersville, NJ 08012
Phone (856) 228-6777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1013136456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR ROAD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD STE B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-256-7620",
            "fax_number": "856-256-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "856-256-7620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.