Active NPI
Salem Clinic Corp
Doing business as Children's Healthcare Center
- Pediatrics Physician
- Salem, NJ
National Provider Identifier
1578563052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SALEM CLINIC CORP
- Doing business as
- Children's Healthcare Center
- Practice address
- 4 Bypass Road
Suite 101
Salem, NJ 08079 - Phone
- (856) 935-3582
- Fax
- (856) 935-4382
- NPI assigned
- Jul 27, 2005
- Last updated
- Jul 21, 2022
- 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
- Gary D Newsome
- Title
- President
- Phone
- (616) 373-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NJ | Primary |
Addresses
Primary practice location
4 Bypass Road
Suite 101
Salem, NJ 08079
Mailing address
4 Bypass Road
Suite 101
Salem, NJ 08079
Phone (856) 935-3582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8996105 | Medicaid | NJ |
Other names 1
- Children's Healthcare Center
National Provider Directory
National Provider Directory- Tax ID family
- Salem Clinic Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba South Jersey Family Care Center
- Obstetrics & Gynecology Physician
- Logan Township, NJ
- NPI 1306846001
Locations
4 Bypass Rd
Ste 101
Salem, NJ 08079
Phone (609) 935-3582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1578563052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BYPASS ROAD",
"address_2": "SUITE 101",
"city": "SALEM",
"state": "NJ",
"postal_code": "08079",
"telephone_number": "856-935-3582",
"fax_number": "856-935-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BYPASS ROAD",
"address_2": "SUITE 101",
"city": "SALEM",
"state": "NJ",
"postal_code": "08079",
"telephone_number": "856-935-3582",
"fax_number": "856-935-4382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM CLINIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-373-9600"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8996105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salem, NJ
- Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01150)
- Korinne Roane, NP
- Douglas Rutledge, APN
- Salem ASC LLC
- Salem City BD of Education
- Salem Clinic Corp (Salem County Surgical Associates)
- Salem County Hospital Corp.
- Salem County Improvement Authority
- Salem County Nursing Home
- Salem County Office on Aging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.