NPIMap

Organization Active NPI

Womens Healthcare of South Jersey

  • Specialist
  • Bridgeton, NJ
National Provider Identifier
1710923123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA02579000 Issued in NJ
Legal business name
WOMENS HEALTHCARE OF SOUTH JERSEY
Practice address
20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759
Phone
(856) 455-7017
Fax
(856) 455-2594
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward S Milner Jr., MD
Title
Vice President
Phone
(856) 455-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA02579000 NJ Primary

Addresses

Primary practice location

20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759

Mailing address

20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759
Phone (856) 455-7017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710923123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021759",
            "telephone_number": "856-455-7017",
            "fax_number": "856-455-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021759",
            "telephone_number": "856-455-7017",
            "fax_number": "856-455-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-455-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02579000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.