NPIMap

Organization Active NPI

Delaware Valley Physicians & Surgeons

  • Specialist
  • Paulsboro, NJ
National Provider Identifier
1659446169
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04703400 Issued in NJ
Legal business name
DELAWARE VALLEY PHYSICIANS & SURGEONS
Practice address
559 Mantua Ave
Paulsboro, NJ 08066
Phone
(856) 423-4500
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Brenda L Ferdig
Title
Office Manager
Phone
(856) 423-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA04703400 NJ Primary

Addresses

Primary practice location

559 Mantua Ave
Paulsboro, NJ 08066

Mailing address

559 Mantua Ave
Paulsboro, NJ 08066-1178
Phone (856) 423-4500

National Provider Directory

National Provider Directory

Locations

232 Mitchell St
Ste 201
Millsboro, DE 19966
Phone (302) 934-8550

Practitioners & affiliated clinicians

Practitioners 4

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1659446169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MANTUA AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661178",
            "telephone_number": "856-423-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MANTUA AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-423-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PHYSICIANS & SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "FERDIG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-423-4500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04703400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.