South Cumberland Medical Associates PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH CUMBERLAND MEDICAL ASSOCIATES PC

Practice address

215 Back Neck Rd
Bridgeton, NJ 08302-6834

Phone

(856) 451-4414

Fax

(856) 451-2052

NPI assigned

Jul 8, 2006

Last updated

Feb 27, 2025By 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

Mrs. Lisa Marie Zanni

Title

Practice Manager

Phone

(856) 451-4414

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Christopher T Ballas, MD

  • Family Medicine Physician
  • Bridgeton, NJ
  • NPI 1700809076
  Medicare reassignment Care Compare group NPD
• Michelle Hazel Bear, DO

  • Family Medicine Physician
  • Bridgeton, NJ
  • NPI 1508894494
  Medicare reassignment Care Compare group NPD
• Melissa Bradley, APN

  • Family Nurse Practitioner
  • Bridgeton, NJ
  • NPI 1245126135
  Medicare reassignment Care Compare group NPD
• Stephanie Michelle Shustock, MSN, APN

  • Adult Health Nurse Practitioner
  • Vineland, NJ
  • NPI 1891941332
  Medicare reassignment NPD
• Lori C Talbot, MD

  • Family Medicine Physician
  • Bridgeton, NJ
  • NPI 1013930023
  Medicare reassignment NPD
• Christopher Myers, NP

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1417979618
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1821021593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BACK NECK RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026834",
            "telephone_number": "856-451-4414",
            "fax_number": "856-451-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BACK NECK RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026834",
            "telephone_number": "856-451-4414",
            "fax_number": "856-451-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CUMBERLAND MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ZANNI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-451-4414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "13551",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3423301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Simmons, LPN
• Michael Simpson
• Sleepcare Centers Inc.
• Stacey L Smick, PA
• Elvira K. Smith, MA, CSW
• South Jersey Drug Treatment Center
• South Jersey Eye Associates PA
• South Jersey Hearing and Tinnitus, LLC
• Ashley Soyer
• Liliam Meredith Spieker

• Family Medicine Physician in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.