South Jersey Medical Associates, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MB05610900 Issued in NJ

Legal business name

SOUTH JERSEY MEDICAL ASSOCIATES, P.A.

Practice address

1504 Blackwood Clementon Rd
Blackwood, NJ 08012-4625

Phone

(856) 228-0144

Fax

(856) 232-0320

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald George Intelisano, D.O.

Title

President

Phone

(856) 228-0144

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Adam Michael Aquilino, DC

  • Chiropractor
  • Voorhees, NJ
  • NPI 1427020817
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669525960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BLACKWOOD CLEMENTON RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124625",
            "telephone_number": "856-228-0144",
            "fax_number": "856-232-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BLACKWOOD CLEMENTON RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124625",
            "telephone_number": "856-228-0144",
            "fax_number": "856-232-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "INTELISANO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-228-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB05610900",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MB05610900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Singh, APN
• Caitlin Smith
• Jennifer Smith, COTA/L
• Neil Soni, DO
• Sonya Staffing
• South Jersey Nurse Practitioners Services
• South Jersey Phlebotomy Services, LLC
• Rebecca Sparks, OTR/L
• Margaret Stachowski, ANP
• Stanford CTC Services, LLC

• Gastroenterology Physician in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.