NPIMap

Organization Active NPI

Children's Surgical Associates of New Jersey Inc

  • Optometrist
  • Voorhees, NJ
National Provider Identifier
1609674399
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC
Practice address
1012 Laurel Oak Rd
Voorhees, NJ 08043-3505
Phone
(856) 435-1300
Fax
(267) 425-9552
NPI assigned
Mar 6, 2025
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Linda C Flocco
Title
Executive Administrator
Phone
(215) 590-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1012 Laurel Oak Rd
Voorhees, NJ 08043-3505

Mailing address

2929 Arch St FL 12
Philadelphia, PA 19104-2857

Other practice location 1

4009 Black Horse Pike
Mays Landing, NJ 08330-3133
Phone (609) 677-7895

Other practice location 2

101 Plainsboro Rd
Plainsboro, NJ 08536-1978
Phone (609) 520-1717

Other practice location 3

200 Bowman Dr Fl 2
Voorhees, NJ 08043-9623
Phone (267) 425-5400

Other practice location 4

4755 Ogletown Stanton Road
Newark, DE 19178-2200
Phone (302) 733-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012000202 NJ Part B Supplier - Clinic/Group Practice 6103246293 Receives reassigned benefits from 21 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Voorhees, NJ; Mays Landing, NJ; Plainsboro, NJ

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Children's Surgical Associates of New Jersey Inc12 organizations share this tax ID, including this one
Part of
Children's Surgical Associates of New Jersey Inc

Other organizations with this tax ID 11

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

Locations

101 Plainsboro Rd
Plainsboro, NJ 08536
Phone (267) 425-9505

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1609674399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 ARCH ST FL 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433505",
            "telephone_number": "856-435-1300",
            "fax_number": "267-425-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Mays Landing",
            "state": "NJ",
            "postal_code": "083303133",
            "country_code": "US",
            "telephone_number": "609-677-7895",
            "fax_number": "267-425-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361978",
            "country_code": "US",
            "telephone_number": "609-520-1717",
            "fax_number": "267-425-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439623",
            "country_code": "US",
            "telephone_number": "267-425-5400",
            "fax_number": "267-425-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Road",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "191782200",
            "country_code": "US",
            "telephone_number": "302-733-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC",
        "enumeration_date": "2025-03-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "FLOCCO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-590-2700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.