NPIMap

Organization Active NPI

Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Sewell, NJ
National Provider Identifier
1720538564
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VIRTUA MEDICAL GROUP, PA
Practice address
239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone
(856) 341-8200
Fax
(856) 341-8215
NPI assigned
Oct 5, 2016
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRTUA MEDICAL GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
John Mark Matsinger, DONPI 1700827292
Title
Evp; Chief Operating Officer
Phone
(856) 355-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other names 1

  • Virtua Urgent Care - Sewell - Washington Township Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000338 NJ Part B Supplier - Clinic/Group Practice 9830222397 Receives reassigned benefits from 2,240 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0117405Virtua Primary Care Washington Township239 Hurffville Cross Keys Road, Sewell, NJ 08080Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Virtua Medical Group PA20 organizations share this tax ID, including this one
Part of
Virtua Medical Group PA

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160

401 Kings Hwy S
Ste 5
Cherry Hill, NJ 08034
Phone (856) 428-8992

141 Route 70 E
Frnt
Marlton, NJ 08053
Phone (856) 985-7373

141 Route 70 E
Ste C
Marlton, NJ 08053
Phone (856) 355-7176

6981 N Park Dr
Ste 300A
Pennsauken, NJ 08109
Phone (856) 854-4524

6981 N Park Dr
Ste 300A2
Pennsauken, NJ 08109
Phone (856) 247-7310

100 Bowman Dr
Fl 3
Voorhees, NJ 08043
Phone (856) 247-3000

101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240

Practitioners & affiliated clinicians

Practitioners 179

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.

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1720538564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD STE 160",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804005",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA MEDICAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA MEDICAL GROUP, PA",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MATSINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EVP; CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-355-0340",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtua Urgent Care - Sewell - Washington Township",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.