Organization Active NPI

Inspira Medical Centers, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bridgeton, NJ
National Provider Identifier
1679527626
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3674509MedicaidNJ

Other names 1

  • Inspira Dialysis Bridgeton Doing business as

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.

Verify at the official NPI Registry.