NPIMap

Organization Active NPI

Umdnj-Som

  • General Acute Care Hospital
  • Collingswood, NJ
National Provider Identifier
1083995476
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UMDNJ-SOM
Practice address
22 E Stiles Ave
Collingswood, NJ 08108-1915
Phone
(609) 410-6571
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Carl Mogul, DO
Title
Director of Medical Education
Phone
(856) 566-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

22 E Stiles Ave
Collingswood, NJ 08108-1915

Mailing address

22 E Stiles Ave
Collingswood, NJ 08108-1915

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1083995476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E STILES AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E STILES AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081915",
            "telephone_number": "609-410-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ-SOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "MOGUL",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL EDUCATION",
        "authorized_official_telephone_number": "856-566-6708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.