Active NPI
Colon and Rectal Surgical Center of South Jersey
- Specialist
- Lumberton, NJ
National Provider Identifier
1295879146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COLON AND RECTAL SURGICAL CENTER OF SOUTH JERSEY
- Practice address
- 217 Madison Ave
Lumberton, NJ 08048-2901 - Phone
- (609) 261-5550
- Fax
- (609) 261-3009
- NPI assigned
- Feb 16, 2007
- 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
- Tara L Kowalewski
- Title
- Billing MGR
- Phone
- (856) 753-0913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
217 Madison Ave
Lumberton, NJ 08048-2901
Mailing address
501 Office Center Dr
Suite 188
Fort Washington, PA 19034-3220
Phone (609) 261-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7909306 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
501 Office Center Dr
Ste 188
Ft Washington, PA 19034
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Lumberton, NJ
- NPI 1316081268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1295879146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 OFFICE CENTER DR",
"address_2": "SUITE 188",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190343220",
"telephone_number": "609-261-5550",
"fax_number": "609-261-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 MADISON AVE",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080482901",
"telephone_number": "609-261-5550",
"fax_number": "609-261-3009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLON AND RECTAL SURGICAL CENTER OF SOUTH JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "KOWALEWSKI",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "856-753-0913"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7909306",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.