Organization Active NPI

NJ Surgical

  • Colon & Rectal Surgery Physician
  • Mount Laurel, NJ
National Provider Identifier
1760996896
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
NJ SURGICAL
Practice address
3000 Atrium Way
Mount Laurel, NJ 08054-3909
Phone
(631) 827-8159
NPI assigned
Nov 28, 2017
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Mathew James
Title
Billing Manager
Phone
(631) 827-8159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X Primary

Addresses

Primary practice location

3000 Atrium Way
Mount Laurel, NJ 08054-3909

Mailing address

3000 Atrium Way
Mount Laurel, NJ 08054-3909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1760996896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543909",
            "telephone_number": "631-827-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-827-8159"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.