NPIMap

Organization Active NPI

Surgical Specialists of New Jersey, LLC

  • Surgery Physician
  • Marlton, NJ
National Provider Identifier
1851345870
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL SPECIALISTS OF NEW JERSEY, LLC
Practice address
2 Eves Drive
Suite 109
Marlton, NJ 08053-3193
Phone
(856) 669-6061
Fax
(856) 651-0853
NPI assigned
May 22, 2006
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Christopher J Boynton, M.D.NPI 1265433536
Title
Managing Director
Phone
(856) 669-6061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X

Addresses

Primary practice location

2 Eves Drive
Suite 109
Marlton, NJ 08053-3193

Mailing address

2 Eves Drive
Suite 109
Marlton, NJ 08053-3193
Phone (856) 669-6061

National Provider Directory

National Provider Directory

Locations

175 Centennial Ctr
Ste 300A
Berlin, NJ 08009
Phone (856) 767-8241

666 Madison Ave
Burlington, NJ 08016
Phone (609) 386-0023

2201 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 488-6887

525 State St
Elmer, NJ 08318
Phone (856) 358-5181

2 Eves Dr
Ste 109
Marlton, NJ 08053
Phone (856) 429-8030

131 Madison Ave
Mount Holly, NJ 08060
Phone (609) 267-7050

1020 Laurel Oak Rd
Ste 200
Voorhees, NJ 08043
Phone (856) 782-1241

200 Route 73
Bldg B
Voorhees, NJ 08043
Phone (609) 267-7050

502 Centennial Blvd
Ste 7
Voorhees, NJ 08043
Phone (856) 596-7440

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1851345870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVES DRIVE",
            "address_2": "SUITE 109",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533193",
            "telephone_number": "856-669-6061",
            "fax_number": "856-384-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVES DRIVE",
            "address_2": "SUITE 109",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533193",
            "telephone_number": "856-669-6061",
            "fax_number": "856-651-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "BOYNTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "856-669-6061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2013; 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.