NPIMap

Organization Active NPI

Visiting Physician Associates of South Jersey, LLC

  • Adult Health Nurse Practitioner
  • Hammonton, NJ
National Provider Identifier
1770855496
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00352500 Issued in NJ
Legal business name
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY, LLC
Practice address
640 White Horse Pike
Hammonton, NJ 08037-9602
Phone
(609) 567-9003
Fax
(858) 373-2480
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Ms. Ma'Sheil Latham
Title
Office Manager
Phone
(609) 567-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00352500 NJ Primary

Addresses

Primary practice location

640 White Horse Pike
Hammonton, NJ 08037-9602

Mailing address

640 North White Horse Pike
Hammonton, NJ 08037-9602
Phone (609) 567-9003

National Provider Directory

National Provider Directory
Tax ID family
Visiting Physician Associates of South Jersey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1770855496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NORTH WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379602",
            "telephone_number": "609-567-9003",
            "fax_number": "858-373-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379602",
            "telephone_number": "609-567-9003",
            "fax_number": "858-373-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "MA'SHEIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-567-9003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00352500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.