Organization Active NPI

South Jersey Family & Specialty Medicine LLC

  • Cardiovascular Disease Physician
  • Delran, NJ
National Provider Identifier
1083943872
Registry record updated Jan 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08374000 Issued in NJ
Legal business name
SOUTH JERSEY FAMILY & SPECIALTY MEDICINE LLC
Practice address
2906 Route 130
Delran, NJ 08075-2521
Phone
(856) 764-4115
Fax
(856) 764-4116
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2015

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

Authorized official

Name
Neil Hussain
Title
Director
Phone
(856) 764-4115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MB07370900 NJ
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA08374000 NJ Primary

Addresses

Primary practice location

2906 Route 130
Delran, NJ 08075-2521

Mailing address

2906 Route 130 N
Delran, NJ 08075-2521
Phone (856) 764-4115

National Provider Directory

National Provider Directory

Locations

2906 Route 130
Delran, NJ 08075
Phone (856) 764-4115

Practitioners & affiliated clinicians

Practitioners 4

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": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422144000000",
    "number": "1083943872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 ROUTE 130 N",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752521",
            "telephone_number": "856-764-4115",
            "fax_number": "856-764-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752521",
            "telephone_number": "856-764-4115",
            "fax_number": "856-764-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY FAMILY & SPECIALTY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2015-01-25",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-764-4115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07370900",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08374000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2015; 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.