Organization Active NPI

Salem Medical Professionals PC

Doing business as Salem Medical Group

  • Family Medicine Physician
  • Salem, NJ
National Provider Identifier
1073524518
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALEM MEDICAL PROFESSIONALS PC
Doing business as
Salem Medical Group
Practice address
310 Woodstown Rd
Salem, NJ 08079-2064
Phone
(856) 935-1000
NPI assigned
Aug 10, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SALEM MEDICAL PROFESSIONALS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Brian A Peoples
Title
VP
Phone
(615) 465-7585

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NJ Primary
Internal Medicine Physician 207R00000X NJ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NJ
Gastroenterology Physician 207RG0100X NU
Infectious Disease Physician 207RI0200X NU
Obstetrics & Gynecology Physician 207V00000X NJ
Pediatrics Physician 208000000X NJ
Neurology Physician 2084N0400X NJ
Surgery Physician 208600000X NJ

Addresses

Primary practice location

310 Woodstown Rd
Salem, NJ 08079-2064

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (888) 801-5554

Other identifiers 1

IdentifierTypeStateIssuer
0095451MedicaidNJ

Other names 1

  • Salem Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Salem Med Prof PC

Locations

1 Pointers Auburn Rd
Salem, NJ 08079
Phone (856) 339-6001

4 Bypass Rd
Ste 101
Salem, NJ 08079
Phone (609) 935-3582

66 East Ave
#A
Woodstown, NJ 08098
Phone (856) 624-4252

66 East Ave
#B
Woodstown, NJ 08098
Phone (856) 417-3260

66 East Ave
#C
Woodstown, NJ 08098
Phone (856) 339-6014

200 Old Forge Ln
Kennett Square, PA 19348
Phone (610) 388-1600

1011 W Baltimore Pike
Ste 206
West Grove, PA 19390
Phone (610) 869-1009

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1073524518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "888-801-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WOODSTOWN RD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-935-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL PROFESSIONALS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM MEDICAL PROFESSIONALS PC",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-465-7585"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095451",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.