Organization Active NPI

South Jersey Osteopathic Care Center, LLC

  • Primary Care Clinic/Center
  • Moorestown, NJ
National Provider Identifier
1740432202
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MB069721 Issued in NJ
Legal business name
SOUTH JERSEY OSTEOPATHIC CARE CENTER, LLC
Practice address
701 E Main St
Moorestown, NJ 08057-3032
Phone
(856) 235-6800
Fax
(856) 235-6811
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Dr. Debora Cummings Reeh, D.O.
Title
Physician/Owner
Phone
(856) 235-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MB069721 NJ Primary

Addresses

Primary practice location

701 E Main St
Moorestown, NJ 08057-3032

Mailing address

701 E Main St
Suite 1
Moorestown, NJ 08057-3032
Phone (856) 235-6800

National Provider Directory

National Provider Directory

Locations

701 E Main St
Ste 1
Moorestown, NJ 08057
Phone (856) 235-6800

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1740432202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573032",
            "telephone_number": "856-235-6800",
            "fax_number": "856-235-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573032",
            "telephone_number": "856-235-6800",
            "fax_number": "856-235-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY OSTEOPATHIC CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "REEH",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "CUMMINGS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "856-235-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MB069721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.