Surgical Group of South Jersey, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL GROUP OF SOUTH JERSEY, P.A.

Practice address

1935 Route 70 E
Cherry Hill, NJ 08003-2117

Phone

(856) 428-7700

Fax

(856) 424-9120

NPI assigned

May 5, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dioscoro T. Villanueva, M.D.NPI 1346299401

Title

President

Phone

(856) 428-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Dioscoro T Villanueva, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cherry Hill, NJ
  • NPI 1346299401
  Authorized official Same address or phone

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1619926946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032117",
            "telephone_number": "856-428-7700",
            "fax_number": "856-424-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032117",
            "telephone_number": "856-428-7700",
            "fax_number": "856-424-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF SOUTH JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "DIOSCORO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-428-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen H Sunshine, DDS
• Supportive Care of New Jersey, LLC
• Supportive Care, Inc.
• Supreme Nursing Care and Supported Living LLC
• Alyssa Mae Surdam, DPT
• Christine M Surrey, D.O.
• Susan I Kaufman DO PC (Center for Specialized Gynecology)
• Susan M Hughes MD PC (The Hughes Center for Aesthetic Medicine)
• Janet Mary Sussen, P.T.
• Hunter A Sutch, MPT

• Surgery Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.