Minimally Invasive Surgeons of South Jersey LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MINIMALLY INVASIVE SURGEONS OF SOUTH JERSEY LLC

Practice address

76 West Jimmie Leeds Road
Suite 503
Galloway, NJ 08205

Phone

(609) 652-3655

NPI assigned

Oct 3, 2006

Last updated

Aug 4, 2010By 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

Michael Delrosario, M.D.

Title

Owner

Phone

(609) 652-3655

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1801981253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WEST JIMMIE LEEDS ROAD",
            "address_2": "SUITE 503",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-652-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WEST JIMMIE LEEDS ROAD",
            "address_2": "SUITE 503",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-652-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGEONS OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "DELROSARIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-652-3655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001139",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Paul Michelette, NURSE PRACTITIONER
• Lauren Elizabeth Michelfelder, LSW
• Dangelo Martino Milford, MSW, LCSW
• Biyonka Iyana Miller-Hampton
• Mindfully Active Karver Counseling & Wellness LLC
• Lewis Michael Minnella, PT,DPT
• Daniel Mizrahi
• Mohamed H. Elnahal, P.a.
• Louis C. Morelli, M.D.
• Susan Lee Mullen, LPC

• Surgery Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.