Organization Active NPI

South Jersey Vision Center, P.C.

  • Ophthalmology Physician
  • Barrington, NJ
National Provider Identifier
1619093432
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05518900 Issued in NJ
Legal business name
SOUTH JERSEY VISION CENTER, P.C.
Practice address
423 Clements Bridge Rd
Barrington, NJ 08007-1821
Phone
(856) 547-0804
Fax
(856) 547-2780
NPI assigned
Mar 22, 2007
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Joseph Michael Kamerling, M.D.NPI 1972591634
Title
President
Phone
(856) 547-0804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA05518900 NJ Primary

Addresses

Primary practice location

423 Clements Bridge Rd
Barrington, NJ 08007-1821

Mailing address

423 Clements Bridge Rd
Barrington, NJ 08007-1821
Phone (856) 547-0804

Other identifiers 1

IdentifierTypeStateIssuer
2590701-20MedicaidNJ

Other names 1

  • William Kamerling MDPA Former legal business name

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
31D2091891South Jersey Vision Center, PC423 Clements Bridge Road, Barrington, NJ 08007Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Locations

423 Clements Bridge Rd
Barrington, NJ 08007
Phone (856) 547-0804

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1619093432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071821",
            "telephone_number": "856-547-0804",
            "fax_number": "856-547-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071821",
            "telephone_number": "856-547-0804",
            "fax_number": "856-547-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "KAMERLING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-547-0804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05518900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2590701-20",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Kamerling MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Barrington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.