Organization Active NPI

Certified Surgical Specialists of South Jersey, PA

  • Surgery Physician
  • Vineland, NJ
National Provider Identifier
1629131271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CERTIFIED SURGICAL SPECIALISTS OF SOUTH JERSEY, PA
Practice address
907 N Main Rd
BLDG C
Vineland, NJ 08360-8200
Phone
(856) 692-7228
Fax
(856) 692-4155
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew S HellerNPI 1376500702
Title
President
Phone
(856) 692-7228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

907 N Main Rd
BLDG C
Vineland, NJ 08360-8200

Mailing address

907 N Main Rd
BLDG C
Vineland, NJ 08360-8200
Phone (856) 692-7228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629131271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SURGICAL SPECIALISTS OF SOUTH JERSEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-692-7228",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.