Virtua Medical Group, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

VIRTUA MEDICAL GROUP, PA

Practice address

614 Lambs Rd Unit C
Pitman, NJ 08071-2023

Phone

(856) 256-0051

Fax

(856) 582-1643

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

John Mark Matsinger, DO

Title

Evp; Chief Operating Officer

Phone

(856) 355-0340

Specialties & licenses 7

Addresses

Other names 1

• Virtua Reconstructive Orthopedics - Pitman Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Sewell, NJ
  • NPI 1508653668

  O20231106002361

  Same enrollment

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1609560226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 LAMBS RD UNIT C",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080712023",
            "telephone_number": "856-256-0051",
            "fax_number": "856-582-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MATSINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EVP; CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-355-0340",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtua Reconstructive Orthopedics - Pitman",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Virtua Reconstructive Orthopedics - Pitman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Marie Thomason, LPC
• Tri-County Health Connections PC
• Valued Minds, LLC
• VB Mindful Solutions LLC
• Verena Schnurr Alex Psychotherapy
• Jason C Walker, LPC
• Margaret Wallace, LPN
• Andria Wilson
• Sarah Elizabeth Yerkes, ATC/L

• Orthopaedic Surgery Physician in Pitman, NJ
• Providers in Pitman, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.