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
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, DO
Title
Evp; Chief Operating Officer
Phone
(856) 355-0340

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

75 S White Horse Pike
Hammonton, NJ 08037
Phone (856) 325-3200

728 Marne Hwy
Ste 100B
Moorestown, NJ 08057
Phone (856) 206-4765

401 Young Ave
Ste 320
Moorestown, NJ 08057
Phone (856) 291-8920

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

239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200

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

Practitioners & affiliated clinicians

Practitioners 178

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 178

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.