South Jersey ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

96562 Issued in NJ

Legal business name

SOUTH JERSEY ASC, LLC

Practice address

2950 College Dr
Suite 2E
Vineland, NJ 08360-6933

Phone

(855) 420-8241

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Lee, M.D.NPI 1013901693

Title

Medical Director

Phone

(855) 420-8241

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Christopher Sang Don Lee, M.D.

  • Urology Physician
  • Vineland, NJ
  • NPI 1013901693
  NPD Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1306240460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "SUITE 2E",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "855-420-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "SUITE 2E",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "855-420-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-420-8241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "96562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORG ID NUMBER",
            "identifier": "96562",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruchi Sood, M.D.
• Sora Yoon MD LLC
• Giselle Sosa
• Yolise Sosa
• Kenlly J Soto Balbuena
• South Jersey Center for Orthopedics & Sports Medicine
• South Jersey ENT Associates
• South Jersey Gastroenterology Consultants PA
• South Jersey Healthcare Life, Inc.
• South Jersey Healthcare Occupational Health Services

• Ambulatory Surgical Clinic/Center in Vineland, NJ
• Providers in Vineland, 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 Feb 26, 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.