NPIMap

Organization Active NPI

South Jersey Sports Medicine Center PC

  • Orthopaedic Surgery Physician
  • Sewell, NJ
National Provider Identifier
1316997331
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH JERSEY SPORTS MEDICINE CENTER PC
Practice address
556 Egg Harbor Rd
Suite a
Sewell, NJ 08080-2326
Phone
(856) 589-0650
Fax
(856) 589-2720
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Diane Versaggi
Title
Administrator
Phone
(856) 589-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

556 Egg Harbor Rd
Suite a
Sewell, NJ 08080-2326

Mailing address

556 Egg Harbor Rd
Suite a
Sewell, NJ 08080-2326
Phone (856) 589-0650

National Provider Directory

National Provider Directory

Locations

860 Route 168
Turnersville, NJ 08012
Phone (609) 228-6777

1800 Lombard St
#1
Philadelphia, PA 19146
Phone (215) 893-2000

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1316997331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD",
            "address_2": "SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-589-0650",
            "fax_number": "856-589-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD",
            "address_2": "SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-589-0650",
            "fax_number": "856-589-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY SPORTS MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "VERSAGGI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-589-0650"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.