Premier Orthopaedic of South Jersey

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA054868 Issued in NJ

Legal business name

PREMIER ORTHOPAEDIC OF SOUTH JERSEY

Practice address

1007 Mantua Pike
Woodbury, NJ 08096-3963

Phone

(856) 853-8004

Fax

(856) 853-8022

NPI assigned

Feb 21, 2007

Last updated

Apr 20, 2008By 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

Todd M Lipschultz, MDNPI 1124197942

Title

Dr

Phone

(856) 853-8004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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.

• Todd M Lipschultz, MD

  • Orthopaedic Surgery Physician
  • Woodbury, NJ
  • NPI 1124197942
  Medicare reassignment NPD Authorized official
• Daniel J Ragone Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marlton, NJ
  • NPI 1922045194
  Medicare reassignment NPD
• Larissa Wojtenko, PA

  • Orthopaedic Surgery Physician
  • West Deptford, NJ
  • NPI 1801783790
  Medicare reassignment NPD (past)
• Kelly A. Froio, P.A.

  • Orthopaedic Surgery Physician
  • West Deptford, NJ
  • NPI 1336576545
  Medicare reassignment
• Gregory S Maslow, MD

  • Orthopaedic Surgery Physician
  • Woodbury, NJ
  • NPI 1174549950
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750426151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-853-8004",
            "fax_number": "856-853-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-853-8004",
            "fax_number": "856-853-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LIPSCHULTZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "856-853-8004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA054868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Elizabeth Pollock, MA, BC-DMT, LPC, ACS
• Alexandria Porrini
• Potential in Me
• Hiakeem Karmen Pratt Sr., CPRS
• Premier Foot and Ankle, Inc.
• Premier Women's Health of South Jersey
• Nikita Rashi Pressley-Stokes, NURSE
• Prestige Support Services
• Debra M. Prieto, M.D.
• Princeton Professional Care LLC (Home Helpers)

• Orthopaedic Surgery Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.