Active NPI
Onsite Neonatal PA
- Neonatal-Perinatal Medicine Physician
- Voorhees, NJ
National Provider Identifier
1386652808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- ONSITE NEONATAL PA
- Practice address
- 1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520 - Phone
- (856) 782-2212
- Fax
- (856) 782-2213
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Jack
- Title
- Billing Supervisor
- Phone
- (856) 782-2212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | NJ | Primary |
Addresses
Primary practice location
1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520
Mailing address
1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520
Phone (856) 782-2212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7009801 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Upper Darby, PA
- NPI 1710922901
-
- Neonatal-Perinatal Medicine Physician
- Waterbury, CT
- NPI 1215910435
-
- Pediatrics Physician
- Oceanside, NY
- NPI 1831832005
-
- Pediatrics Physician
- Wyomissing, PA
- NPI 1265960074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378857600000",
"number": "1386652808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD",
"address_2": "SUITE 210",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433520",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD",
"address_2": "SUITE 210",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433520",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONSITE NEONATAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2013-09-11",
"status": "A",
"authorized_official_last_name": "JACK",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "856-782-2212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.