NPIMap

Organization Active NPI

Sjvi LLC

  • Vascular & Interventional Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1386885226
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
SJVI LLC
Practice address
200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150
Phone
(856) 482-2800
Fax
(856) 482-9399
NPI assigned
Mar 23, 2009
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Paul Svigals, MDNPI 1265452684
Title
Medial Director
Phone
(856) 482-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NJ Primary

Addresses

Primary practice location

200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150

Mailing address

200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150
Phone (856) 482-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000046 NJ Part B Supplier - Clinic/Group Practice 0547318040 Receives reassigned benefits from 6 practitioners
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

200 Century Pkwy
Ste E
Mount Laurel, NJ 08054
Phone (856) 482-2800

200 Century Pkwy
Ste F
Mount Laurel, NJ 08054

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1386885226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY",
            "address_2": "SUITE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800",
            "fax_number": "856-482-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY",
            "address_2": "SUITE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800",
            "fax_number": "856-482-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJVI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "SVIGALS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDIAL DIRECTOR",
        "authorized_official_telephone_number": "856-482-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.