NPIMap

Organization Active NPI

Virtua Surgical Group, P.a

  • Surgery Physician
  • Cherry Hill, NJ
National Provider Identifier
1184811945
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07300800 Issued in NJ
Legal business name
VIRTUA SURGICAL GROUP, P.A
Practice address
1935 Route 70 E
Cherry Hill, NJ 08003-2117
Phone
(856) 428-7700
Fax
(856) 424-9120
NPI assigned
Sep 26, 2007
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Dioscoro Villanueva, M.DNPI 1346299401
Title
President
Phone
(856) 428-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07300800 NJ Primary

Addresses

Primary practice location

1935 Route 70 E
Cherry Hill, NJ 08003-2117

Mailing address

7000 Atrium Way
Suite 6
Mount Laurel, NJ 08054-3917
Phone (856) 840-4500

National Provider Directory

National Provider Directory

Locations

5045 Route 130
Ste 1
Delran, NJ 08075
Phone (856) 764-0788

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

895 Rancocas Rd
Westampton, NJ 08060
Phone (609) 265-0408

Practitioners & affiliated clinicians

Practitioners 136

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.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1184811945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543917",
            "telephone_number": "856-840-4500",
            "fax_number": "856-291-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032117",
            "telephone_number": "856-428-7700",
            "fax_number": "856-424-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA SURGICAL GROUP, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "DIOSCORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-428-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07300800",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2014; 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.