NPIMap

Organization Active NPI

Virtua - West Jersey Health System, Inc.

  • Community Based Hospice Care Agency
  • Marlton, NJ
National Provider Identifier
1801616677
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.
Practice address
301 Lippincott Dr FL 2
Marlton, NJ 08053-4197
Phone
(856) 581-7310
Fax
(856) 581-7311
NPI assigned
Oct 15, 2024
Organization subpart
Yes
Parent organization
VIRTUA HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Christine C Gordon, MBA
Title
Director of Reimbursement
Phone
(856) 355-0655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

301 Lippincott Dr FL 2
Marlton, NJ 08053-4197

Mailing address

301 Lippincott Dr FL 2
Marlton, NJ 08053-4197
Phone (856) 581-7200

Other names 1

  • Virtua Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nephrology W Jersey Hea3 organizations share this tax ID, including this one
Part of
Virtua Health Inc

Other organizations with this tax ID 2

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

Locations

301 Lippincott Dr
Fl 2
Marlton, NJ 08053
Phone (856) 581-7200

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1801616677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR FL 2",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-581-7200",
            "fax_number": "856-325-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR FL 2",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-581-7310",
            "fax_number": "856-581-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA HEALTH INC",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "856-355-0655",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtua Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.