NPIMap

Organization Active NPI

Methodist Associates in Healthcare of New Jersey, P.C.

Doing business as Jefferson Community Physicians - Neurosurgery

  • Neurological Surgery Physician
  • Sewell, NJ
National Provider Identifier
1568078095
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE OF NEW JERSEY, P.C.
Doing business as
Jefferson Community Physicians - Neurosurgery
Practice address
445 Hurffville Crosskeys Rd Ste B16
Sewell, NJ 08080-2351
Phone
(856) 256-7591
NPI assigned
Sep 21, 2020
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dawn Padgett
Title
Credentialing Manager
Phone
(215) 955-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd Ste B16
Sewell, NJ 08080-2351

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240

Other names 1

  • Jefferson Community Physicians - Neurosurgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180228001438 NJ Part B Supplier - Clinic/Group Practice 4981965324 Receives reassigned benefits from 159 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sewell, NJ; Turnersville, NJ; Stratford, NJ; Robbinsville, NJ; Lawrenceville, NJ; Cherry Hill, NJ

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Community Physicians of New Jersey3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 136

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 136

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1568078095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD STE B16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802351",
            "telephone_number": "856-256-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "215-955-1175"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Physicians - Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Community Physicians - Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.