Surgical Services of South Jersey, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

26NO05331500 Issued in NJ

Legal business name

SURGICAL SERVICES OF SOUTH JERSEY, LLC

Practice address

13 Elm Dr
Medford, NJ 08055-8840

Phone

(973) 957-0548

Fax

(866) 395-0888

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Justine Sullivan, C.R.N.F.A.NPI 1497843239

Title

Owner

Phone

(609) 922-0909

Specialties & licenses 1

Addresses

Practitioners 1

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

• Justine Sullivan, C.R.N.F.A.

  • Registered Nurse First Assistant
  • Medford, NJ
  • NPI 1497843239
  NPD (past) Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1336323104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ELM DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558840",
            "telephone_number": "973-957-2548",
            "fax_number": "866-395-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ELM DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558840",
            "telephone_number": "973-957-0548",
            "fax_number": "866-395-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-922-0909",
        "authorized_official_credential": "C.R.N.F.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "26NO05331500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan Medical Equipment Co., Inc.
• Justine Sullivan, C.R.N.F.A.
• Samantha Sumara
• William Luke Summers, PSYD
• Supportive Counseling Services
• Emily Sutin, MT-BC
• Tracey Taliaferro
• Joyce Lay Tang
• Russell J Taylor, DDS
• Karen Tennant, LMT

• Skilled Nursing Facility in Medford, NJ
• Providers in Medford, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.