Inspira Medical Centers, Inc.
Organization Active NPI General Acute Care Hospital · Salem, NJ
NPI 1437832201 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1437832201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- INSPIRA MEDICAL CENTERS, INC.
- Practice address
- 310 Salem Woodstown Rd
Salem, NJ 08079-2064 - Phone
- (856) 339-6059
- Fax
- (856) 935-3175
- NPI assigned
- Aug 9, 2023
- Organization subpart
- No
Authorized official
- Name
- William Pelino, MBA, CPA
- Title
- Sr. Vice President & Cfo
- Phone
- (856) 641-6605
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 18
Practitioners 13
-
Bernadett Alfred, CRNP
-
Ashoke K Deb, MD
-
Dawn Paulette Holder, M.D.
-
Okebugwu Kamalu, MD
-
Edmar Manabat Lacay, M.D.
-
Joel Steinberg, M.D.
-
Edulfo Gonzalez-Sanchez, M.D.
-
Andrew Lopez, M.D.
-
Wamiq Sultan, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0005362 | Inspira Medical Center Mannington | Accreditation | Feb 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Hospital certification: CCN 310069A
- Legal name
- INSPIRA MEDICAL CENTERS INC
- Doing business as
- INSPIRA MEDICAL CENTER ELMER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 1, 1985 in NJ
- Enrollment address
- 501 Front St
Elmer, NJ 83182101 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Warren E. Moore |
Corporate Officer |
Jul 12, 2021 | 100% |
| W-2 Managing Employee |
Jul 12, 2021 | 100% | |
| Operational/Managerial Control |
Jul 12, 2021 | 100% | |
| Owen J Giryluk |
W-2 Managing Employee |
Jan 1, 2015 | 100% |
| James T O'Connell |
W-2 Managing Employee |
May 23, 2008 | |
| Lydia Stockman |
Corporate Officer |
Jan 16, 2023 | 100% |
| W-2 Managing Employee |
Jan 16, 2023 | 100% | |
| Operational/Managerial Control |
Jan 16, 2023 | 100% | |
| William Pelino |
Corporate Officer |
Feb 6, 2023 | 100% |
| W-2 Managing Employee |
Feb 6, 2023 | 100% | |
| Operational/Managerial Control |
Feb 6, 2023 | 100% | |
| Inspira Health Network Inc |
5% Or Greater Direct Ownership Interest | May 23, 2008 | 100% |
| Jeffrey S. Smaniotto |
W-2 Managing Employee |
Jul 23, 2023 | 100% |
| Amy B Mansue |
Corporate Officer |
Sep 1, 2020 | 100% |
| W-2 Managing Employee |
Sep 1, 2020 | 100% | |
| Operational/Managerial Control |
Sep 1, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200102001605 | NJ | Part a Provider - Hospital | 0345232997 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, NJ; Elmer, NJ |
National Provider Directory
- Tax ID family
- Pathology Elmer Comm Ho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
310 Salem Woodstown Rd
Salem, NJ 08079-2064
Mailing address
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4777
Other practice location 1
499 Beckett Rd Ste 102B
Logan Twp, NJ 08085-1766
Phone (856) 878-6893
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71702 | Other | NJ | NEW JERSEY DEPARTMENT OF HEALTH LICENSE |
Other names
- Inspira Medical Center Mannington
Other providers in Salem, NJ
- Christopher Daniel Hearn
- Help Services of South Jersey, Inc
- Shamicka Victoria Holness
- Matthew L Hunter
- Rimon Maher Ibrahim
- Inspira Medical Centers, Inc.
- Patricia Louise Irwin
- Srinivasa V Prasad Ivaturi
- Jay Calesnick, MD
- Ina Ray Jetter
All providers in Salem, NJ · General Acute Care Hospital in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.