Wills Surgery Center of Cherry Hill

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10287 Issued in NJ

Legal business name

WILLS SURGERY CENTER OF CHERRY HILL

Practice address

408 Marlton Pike E
Cherry Hill, NJ 08034-2409

Phone

(856) 354-1600

Fax

(856) 429-7555

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P. Bilson

Title

President

Phone

(215) 440-3152

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Surgery Center of Chery Hill Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgery Center of Cherry Hill D B a Wills Surgery Center of Cherry HillCCN 31C0001070

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi D Goel, M.D.

  • Ophthalmology Physician
  • Cherry Hill, NJ
  • NPI 1376576108
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295817435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342409",
            "telephone_number": "856-354-1600",
            "fax_number": "856-429-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342409",
            "telephone_number": "856-354-1600",
            "fax_number": "856-429-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLS SURGERY CENTER OF CHERRY HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BILSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-440-3152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "10287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "10287",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY PROVIDER #",
            "identifier": "1016702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC PROVIDER #",
            "identifier": "526637",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER #",
            "identifier": "0001375000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDE",
            "identifier": "490002850",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6735100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Chery Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Lynn Williamson, PSYD
• Carrie Hayes Penick Willingham, OT
• Keith Willingmyre, PT
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.
• Brittany Wilman, OT
• Amanda Wilson, BA
• Ayesha Wilson
• Heather Wilson
• Hector Paul Wilson

• Ambulatory Surgical Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.