Smart of South Jersey, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SMART OF SOUTH JERSEY, LLC

Practice address

304 Joseph Ave
Linwood, NJ 08221-1519

Phone

(609) 904-3456

Fax

(609) 788-4100

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gary J Coslop Jr.

Title

Executive

Phone

(609) 904-3456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1235503590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JOSEPH AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211519",
            "telephone_number": "609-904-3456",
            "fax_number": "609-788-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JOSEPH AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211519",
            "telephone_number": "609-904-3456",
            "fax_number": "609-788-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "COSLOP",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "609-904-3456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry M Silvesti, PA-C, DC
• Allen Lewis Silvey Jr., D.O.
• Frank W Sindoni, M.D.
• Kathleen Siracusa-Price, LCSW
• Marissa L Smargiassi, PA-C
• Michele Kathryn Sokalski, MA, CCC-SLP
• Brian Edward Sokalsky, DO
• Sofia Solomon, PT
• Sood Center for Plastic Surgery
• Sood Center for Plastic Surgery, PC

• Point of Service in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.