Visiting Physician Associates of South Jersey

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MBO64192 Issued in NJ

Legal business name

VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY

Practice address

640 North White Horse Pike
Hammonton, NJ 08037

Phone

(609) 567-9003

Fax

(609) 567-9269

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori A. Reaves, DONPI 1417959503

Title

President/Ceo

Phone

(609) 567-9003

Specialties & licenses 1

Addresses

Tax ID family

Visiting Physician Associates of South Jersey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Visiting Physician Associates of South Jersey, LLC

  • Adult Health Nurse Practitioner
  • Hammonton, NJ
  • NPI 1770855496
  NPD tax ID

Locations

Practitioners 1

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.

• Lori A Reaves, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Hammonton, NJ
  • NPI 1417959503
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174561344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NORTH WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-9003",
            "fax_number": "609-567-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NORTH WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-9003",
            "fax_number": "609-567-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-567-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MBO64192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanmeter Family Practice LLC
• Shalla Velez
• Via Medical Transportation LLC
• Village Super Market of NJ LP (Shoprite Pharmacy of Hammonton)
• Virtua Medical Group, PA
• Visiting Physician Associates of South Jersey, LLC
• Vitalpoint Healthpc
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2254)
• Walgreen Co (Walgreens #19745)
• Deanne P Walther, RD, LDN

• Geriatric Medicine (Family Medicine) Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Geriatric Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.