Salem Medical Professionals, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SALEM MEDICAL PROFESSIONALS, P.C.

Doing business as

South Jersey Family Care Center

Practice address

499 Beckett Rd
Logan Township, NJ 08085-1766

Phone

(856) 241-2090

Fax

(856) 241-2099

NPI assigned

Aug 29, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SALEM MEDICAL PROFESSIONALS, P.C.As reported in NPPES

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

Authorized official

Name

Gary D Newsome

Title

President

Phone

(616) 373-9600

Specialties & licenses 5

Addresses

Other names 1

• South Jersey Family Care Center Doing business as

Tax ID family

Salem Med Prof PC2 organizations share this tax ID, including this one

Part of

Salem Med Prof PC

Other organizations with this tax ID 1

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

• Salem Medical Professionals, PC

  dba Children's Healthcare Center

  • Pediatrics Physician
  • Salem, NJ
  • NPI 1154334811
  NPD tax ID

Practitioners 2

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.

• Paul R Kouyoumdji, MD

  • Pediatrics Physician
  • Salem, NJ
  • NPI 1124027172
  NPD (past)
• Susan D Lotkowski, D.O

  • Neurology Physician
  • Swedesboro, NJ
  • NPI 1992738470
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285742197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504290",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "856-241-2090",
            "fax_number": "856-241-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "telephone_number": "856-241-2090",
            "fax_number": "856-241-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM MEDICAL PROFESSIONALS, P.C.",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-373-9600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jersey Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie J Lowe
• Mark Giorno DMD & Associates PA (Main Street Dental)
• Erin M Meyers, RN
• Novacare
• Salem Clinic Corp (South Jersey Family Care Center)
• Roger Brent Samartino, DPT
• Sandra Vause, M.D., P.C.
• Stephanie A Scanzano, MSOTRL
• George Seretis, DO
• Seretiscare Inc. (SeretisCare Family Practice)

• Family Medicine Physician in Logan Township, NJ
• Providers in Logan Township, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.