South Jersey Sports Medicine Center PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB04705300 Issued in NJ

Legal business name

SOUTH JERSEY SPORTS MEDICINE CENTER PC

Practice address

556 Egg Harbor Rd
Suite a
Sewell, NJ 08080-2326

Phone

(856) 589-0650

NPI assigned

Oct 6, 2016

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Falconiero, DONPI 1376500967

Title

Managing Member

Phone

(609) 703-5097

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Paul Falconiero, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Vineland, NJ
  • NPI 1376500967
  NPD Authorized official

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1700336468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD",
            "address_2": "SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD",
            "address_2": "SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-589-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY SPORTS MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "FALCONIERO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-703-5097",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB04705300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Heart Group
• South Jersey Musculoskeletal Institute, LLC (Advanced Surgical Institute)
• South Jersey Periodontics & Dental Implants, LLC
• South Jersey Recovery Center LLC
• South Jersey Sports Medicine Center PC
• Lori Lynn Sowers, PHARMD
• Kelly Speers, PT, DPT
• Geraldine Ann Spillman, RPH
• Sara Jane Spinner, RDN
• Mary Jeanne Spinosi, DO

• Non-Pharmacy Dispensing Site in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.