SJ Specialty Group LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SJ SPECIALTY GROUP LLC

Practice address

151 Greentree Rd Ste Aa
Marlton, NJ 08053-9416

Phone

(856) 983-9620

Fax

(856) 983-7714

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By 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

Mrs. Nichola Rich

Title

Office Manager

Phone

(856) 983-9620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730602939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GREENTREE RD STE AA",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539416",
            "telephone_number": "856-983-9620",
            "fax_number": "856-983-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GREENTREE RD STE AA",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539416",
            "telephone_number": "856-983-9620",
            "fax_number": "856-983-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "NICHOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-983-9620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anupam Nath Sinha, D.O.
• Joseph Sireci, DO
• Gabrielle Sirolli
• Muthu Vel Sivasankaran, MD
• SJ Kidney Disease & Hypertension Center LLC
• Robert A Skaf, M.D.
• Edward Skobac, M.D.
• Sleepcare Center, Inc.
• Alynson Sloananderson
• Bradley Andrew Smith, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.