Active NPI
Inspira Medical Centers, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeton, NJ
National Provider Identifier
1679527626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- INSPIRA MEDICAL CENTERS, INC.
- Practice address
- 333 Irving Ave
Bridgeton, NJ 08302-2100 - Phone
- (856) 575-4500
- Fax
- (856) 451-5269
- NPI assigned
- May 22, 2006
- Organization subpart
- Yes
- Parent organization
- INSPIRA MEDICAL CENTERS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Thomas O'Connell, CPA
- Title
- Director Revenue Cycle
- Phone
- (856) 575-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
333 Irving Ave
Bridgeton, NJ 08302-2100
Mailing address
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3674509 | Medicaid | NJ |
Other names 1
- Inspira Dialysis Bridgeton
National Provider Directory
National Provider Directory- Part of
- Pathology Elmer Comm Ho
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1679527626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 IRVING AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022123",
"telephone_number": "856-575-4500",
"fax_number": "856-451-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 IRVING AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022100",
"telephone_number": "856-575-4500",
"fax_number": "856-451-5269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRA MEDICAL CENTERS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INSPIRA MEDICAL CENTERS, INC.",
"enumeration_date": "2006-05-22",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
"authorized_official_telephone_number": "856-575-4777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3674509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inspira Dialysis Bridgeton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.