South Jersey Eye Physicians, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH JERSEY EYE PHYSICIANS, LLC

Practice address

509 S Lenola Rd
Suite 11B
Moorestown, NJ 08057-1561

Phone

(856) 234-0222

Fax

(856) 727-9518

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Lauren Magnifico, RN

Title

VP ASC Operations

Phone

(201) 216-1700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Surgical Center at South Jersey Eye Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Jersey Eye Physicians PA

  • Ophthalmology Physician
  • Moorestown, NJ
  • NPI 1215978408

  O20040923001064

  Same enrollment

Listed as

The Surgical Center of South Jersey Eye PhysiciansCCN 31C0001069

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1023072824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD",
            "address_2": "SUITE 11B",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0222",
            "fax_number": "856-727-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY EYE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MAGNIFICO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "VP ASC OPERATIONS",
        "authorized_official_telephone_number": "201-216-1700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490002841",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3277305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Center at South Jersey Eye Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heeyah Song, MD
• Lauren Sonino, MS, OTR/L
• Ingrid Soto, RD
• South Jersey Dental Care
• South Jersey Eye Physicians PA
• South Jersey Osteopathic Care Center, LLC
• South Jersey Smiles Inc.
• South Jersey Therapy Collective LLC
• Vincent Spagnuolo, M.D.
• Sparkline Medical LLC

• Ambulatory Surgical Clinic/Center in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.