Organization Active NPI

Salem Clinic Corp

Doing business as South Jersey Family Care Center

  • Obstetrics & Gynecology Physician
  • Logan Township, NJ
National Provider Identifier
1306846001
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SALEM CLINIC CORP
Doing business as
South Jersey Family Care Center
Practice address
499 Beckett Rd
Suite 202
Logan Township, NJ 08085-1766
Phone
(856) 241-2090
Fax
(856) 241-2099
NPI assigned
Jul 26, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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
(615) 373-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NJ
Obstetrics & Gynecology Physician 207V00000X NJ Primary

Addresses

Primary practice location

499 Beckett Rd
Suite 202
Logan Township, NJ 08085-1766

Mailing address

499 Beckett Rd
Suite 202
Logan Township, NJ 08085-1766
Phone (856) 241-2090

Other identifiers 1

IdentifierTypeStateIssuer
7211601MedicaidNJ

Other names 1

  • South Jersey Family Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Clinic Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

499 Beckett Rd
Ste 202
Swedesboro, NJ 08085
Phone (856) 241-2090

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306846001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "address_2": "SUITE 202",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "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",
            "address_2": "SUITE 202",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "telephone_number": "856-241-2090",
            "fax_number": "856-241-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-09-11",
        "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": "615-373-9600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jersey Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.