NPIMap

Organization Active NPI

Pulmonary and Sleep Associates of South Jersey, LLC

  • Pulmonary Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1093734022
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND SLEEP ASSOCIATES OF SOUTH JERSEY, LLC
Practice address
107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone
(856) 429-1800
Fax
(856) 429-1081
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Ms. Debra Mazzetti
Title
Ceo
Phone
(856) 429-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

107 Berlin Rd
Cherry Hill, NJ 08034-3526

Mailing address

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800

Other identifiers 1

IdentifierTypeStateIssuer
7351101MedicaidNJ

National Provider Directory

National Provider Directory

Locations

120 New Rd Ste 150E
Linwood, NJ 08221

94 Brick Rd
Marlton, NJ 08053
Phone (856) 596-1601

750 Route 73 S
Bldg 4
Marlton, NJ 08053
Phone (856) 375-1288

750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767

412 Ewan Rd
Ste E2
Mullica Hill, NJ 08062
Phone (856) 596-9051

412 Ewan Rd
Ste C
Mullica Hill, NJ 08062
Phone (856) 290-7818

239 Hurffville Crosskeys Rd
Ste 201B
Sewell, NJ 08080

2225 E Evesham Rd
Ste 103
Voorhees, NJ 08043
Phone (856) 247-7600

101 Burrs Rd
Westampton, NJ 08060
Phone (609) 261-0240

Practitioners & affiliated clinicians

Practitioners 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1093734022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343526",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343526",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP ASSOCIATES OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "MAZZETTI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-429-1800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7351101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.