Saint Luke's Catholic Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB064729 Issued in NJ

Legal business name

SAINT LUKE'S CATHOLIC MEDICAL SERVICES

Practice address

511 State St
Camden, NJ 08102-1918

Phone

(856) 365-4642

Fax

(856) 365-0539

NPI assigned

Jun 14, 2007

Last updated

Jun 2, 2015By 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

Mr. Martin Idler

Title

Practice Administrator

Phone

(856) 342-4131

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• Herbert Tyler Taylor III, MD

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1477547586
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1255535910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 STATE ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021918",
            "telephone_number": "856-365-4642",
            "fax_number": "856-365-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 STATE ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021918",
            "telephone_number": "856-365-4642",
            "fax_number": "856-365-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S CATHOLIC MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "IDLER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-342-4131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB064729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10681",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0865285001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8442002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5461",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena I Safronova, M.D.
• Kara Saggiomo, NP
• Arpan Sahoo, MD
• Puneet Kaur Chawla Sahota, MD
• Linda Marie Saikali, MD
• Hafsa Irfan Sair, MD
• Karlie Sakoff
• Hassan H Salah, M. D.
• Vanessa Salasky
• Marco Elier Salazar, MD

• Internal Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.