SJ Pennje Laboratory Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SJ PENNJE LABORATORY SERVICES, LLC

Practice address

3205 Fire Rd
Suite P1
Egg Harbor Township, NJ 08234-5884

Phone

(609) 407-1220

Fax

(609) 677-5489

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed A Abdulla, MD, FCAP

Title

Medical Director

Phone

(609) 407-1220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1316389158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 FIRE RD",
            "address_2": "SUITE P1",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345884",
            "telephone_number": "609-407-1220",
            "fax_number": "609-677-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FIRE RD",
            "address_2": "SUITE P1",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345884",
            "telephone_number": "609-407-1220",
            "fax_number": "609-677-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ PENNJE LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-407-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FCAP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Flory Short, M.S., CCC-SLP
• Apryll Siazon
• Nicole Mary Siems, D.O.
• Sally M Sikora, MSN RN CNS C
• Maanasi Puranik Silk, D.O.
• Timothy M. Slaven, D.O.
• Dana E Sless, DO
• Julia M Sluzenski, PHD
• Jasmin D Small
• Laura Lee Smith, O.T.R.L.

• Clinical Medical Laboratory in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.