NPIMap

Organization Active NPI

Inspira Medical Center Woodbury

  • Community/Behavioral Health Agency
  • Woodbury, NJ
National Provider Identifier
1205213824
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05607300 Issued in NJ
Legal business name
INSPIRA MEDICAL CENTER WOODBURY
Practice address
509 N Broad St
Downs Building, Second Floor
Woodbury, NJ 08096-1617
Phone
(856) 686-5632
Fax
(856) 686-5119
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Harry Madison, D.O.
Title
Medical Director
Phone
(856) 845-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05607300 NJ Primary

Addresses

Primary practice location

509 N Broad St
Downs Building, Second Floor
Woodbury, NJ 08096-1617

Mailing address

509 N Broad St
Downs Building, Second Floor
Woodbury, NJ 08096-1617
Phone (856) 686-5632

Other identifiers 1

IdentifierTypeStateIssuer
3676102MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
FHC of Glassboro3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

509 N Broad St
Bldg Second
Woodbury, NJ 08096
Phone (856) 686-5632

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1205213824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "address_2": "DOWNS BUILDING, SECOND FLOOR",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-686-5632",
            "fax_number": "856-686-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "address_2": "DOWNS BUILDING, SECOND FLOOR",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-686-5632",
            "fax_number": "856-686-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTER WOODBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05607300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.