South Jersey Prosthodontic Assoc. PA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

SOUTH JERSEY PROSTHODONTIC ASSOC. PA

Practice address

1793 Springdale Rd
Cherry Hill, NJ 08003-2136

Phone

(856) 424-7177

Fax

(856) 424-0896

NPI assigned

Nov 20, 2006

Last updated

Jul 1, 2010By 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. Stephen R Cohen, DDSNPI 1730254046

Title

President

Phone

(856) 424-7177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Stephen R Cohen, DDS

  • Prosthodontics
  • Cherry Hill, NJ
  • NPI 1730254046
  Authorized official Same address or phone
• Laderrick Bullock, D.M.D.

  • Prosthodontics
  • Cherry Hill, NJ
  • NPI 1386864353
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1174697973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032136",
            "telephone_number": "856-424-7177",
            "fax_number": "856-424-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032136",
            "telephone_number": "856-424-7177",
            "fax_number": "856-424-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY PROSTHODONTIC ASSOC. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-424-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2965402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Jersey Health & Wellness
• South Jersey Health & Wellness Center
• South Jersey Heart Group, PC
• South Jersey Imaging Associates Inc (Upright Imaging of Cherry Hill)
• South Jersey Plastic Surgery
• South Jersey Vascular Intitute LLC
• South Jersey Wellness Group
• South Jersey Women's Center, P.C.
• Southern New Jersey Oral Surgery PA
• Southerncare, Inc (Southerncare Cherry Hill)

• Prosthodontics in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.