Professional Orthopedic Associates of/Is Southern NJ

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA03449600 Issued in NJ

Legal business name

PROFESSIONAL ORTHOPEDIC ASSOCIATES OF/IS SOUTHERN NJ

Practice address

17 White Horse Pike
Suite 1
Haddon Heights, NJ 08035

Phone

(856) 547-2323

Fax

(856) 547-7932

NPI assigned

Jun 6, 2006

Last updated

Oct 30, 2007By 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

Mrs. Cynthia M Vancho, ASRT

Title

Practice Manager

Phone

(856) 547-2323

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1245279942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 1",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "08035",
            "telephone_number": "856-547-2323",
            "fax_number": "856-547-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 1",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "08035",
            "telephone_number": "856-547-2323",
            "fax_number": "856-547-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC ASSOCIATES OF/IS SOUTHERN NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "VANCHO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-547-2323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASRT"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04381000",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03449600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2714108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Plank, MSN, APN-C
• Kelsey Pomeroy, PA
• Walter Poprycz, MD
• Susan Porreca, M.S., BCBA
• Professional Medical Transport
• Melissa Anne Pryzbylkowski, PA-C
• Jena Diane Quinn, PHARMD
• Allison Maryanne Quirk, DO
• Ryan Scott Rafferty, PA-C
• Stephanie Rai, APN

• Orthopaedic Surgery Physician in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.