Active NPI
Endoscopy Center of South Jersey P C
- Ambulatory Surgical Clinic/Center
- Vineland, NJ
National Provider Identifier
1255376653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ENDOSCOPY CENTER OF SOUTH JERSEY P C
- Practice address
- 602 W Sherman Ave
Vineland, NJ 08360-7054 - Phone
- (856) 691-1400
- Fax
- (856) 691-7117
- NPI assigned
- Jun 19, 2006
- Last updated
- Nov 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Garrison
- Title
- Office Manager
- Phone
- (856) 691-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
602 W Sherman Ave
Vineland, NJ 08360-7054
Mailing address
602 W Sherman Ave
Vineland, NJ 08360-7054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6397409 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gastroenterology Physician
- West Chester, OH
- NPI 1841288321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1255376653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607054",
"telephone_number": "856-691-1400",
"fax_number": "856-691-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPY CENTER OF SOUTH JERSEY P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "GARRISON",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-691-1400"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6397409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
- Elwyn New Jersey
- Elwyn New Jersey
- Stefanie Emanuel, PHARM.D.
- Encompass Health Rehabilitation Hospital of Vineland, LLC (Encompass Health Rehabilitation Hospital of Vineland)
- Mary Allison Endicott, PA-C
- Stephanie Mazzoni Engle, LCSW
- Carla Victoria Enriquez, M.D., F.A.A.P.
- Eliza Ermold, OTR/L
- Esa South Jersey Bariatrics, P.a.
- Karan K Estwick, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.