NPIMap

Organization Active NPI

Inspira Medical Centers, Inc.

Doing business as Inspira Medical Center Mannington

  • General Acute Care Hospital
  • Salem, NJ
National Provider Identifier
1437832201
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
INSPIRA MEDICAL CENTERS, INC.
Doing business as
Inspira Medical Center Mannington
Practice address
310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone
(856) 339-6059
Fax
(856) 935-3175
NPI assigned
Aug 9, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
William Pelino, MBA, CPA
Title
Sr. Vice President & Cfo
Phone
(856) 641-6605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
General Acute Care Hospital 282N00000X Primary

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 names 1

  • Inspira Medical Center Mannington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437832201. Details of each certification follow.

Hospital certification: CCN 310069A

Legal name
INSPIRA MEDICAL CENTERS INC
Doing business as
INSPIRA MEDICAL CENTER ELMER
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1985 in NJ
Enrollment address
501 Front St
Elmer, NJ 83182101
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0005362Inspira Medical Center Mannington310 Salem Woodstown Rd, Salem, NJ 08079AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Emer Room Bridgeton Div19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Warren E. Moore Individual Corporate OfficerExecutive VP and Coo Jul 12, 2021 100%
W-2 Managing EmployeeExecutive VP and Coo Jul 12, 2021 100%
Operational/Managerial ControlExecutive VP and Coo Jul 12, 2021 100%
Owen J Giryluk Individual W-2 Managing EmployeeDirector of Reimbursement Jan 1, 2015 100%
James T O'Connell Individual W-2 Managing EmployeeDirector of Revenue Cycle May 23, 2008
Lydia Stockman Individual Corporate OfficerSr. VP and Chief Admin. Officer Jan 16, 2023 100%
W-2 Managing EmployeeSr. VP and Chief Admin. Officer Jan 16, 2023 100%
Operational/Managerial ControlSr. VP and Chief Admin. Officer Jan 16, 2023 100%
William Pelino Individual Corporate OfficerSenior VP and Cfo Feb 6, 2023 100%
W-2 Managing EmployeeSr. VP and Cfo Feb 6, 2023 100%
Operational/Managerial ControlSenior VP and Cfo Feb 6, 2023 100%
Inspira Health Network Inc Organization, Mullica Hill, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 23, 2008 100%
Jeffrey S. Smaniotto Individual W-2 Managing EmployeeDirector of Reimbursement Jul 23, 2023 100%
Amy B Mansue Individual Corporate OfficerPresident and Ceo Sep 1, 2020 100%
W-2 Managing EmployeePresident and Ceo Sep 1, 2020 100%
Operational/Managerial ControlPresident and Ceo Sep 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1437832201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022123",
            "telephone_number": "856-575-4777",
            "fax_number": "856-575-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SALEM WOODSTOWN RD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-339-6059",
            "fax_number": "856-935-3175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Beckett Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Logan Twp",
            "state": "NJ",
            "postal_code": "080851766",
            "country_code": "US",
            "telephone_number": "856-878-6893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "PELINO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "856-641-6605",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspira Medical Center Mannington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.