Active NPI
South Jersey Health & Wellness
- Family Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1861562548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB06561000
- Legal business name
- SOUTH JERSEY HEALTH & WELLNESS
- Practice address
- 1919 Greentree Rd
Cherry Hill, NJ 08003-1115 - Phone
- (856) 761-8100
- Fax
- (856) 761-8107
- NPI assigned
- Nov 9, 2006
- Last updated
- Sep 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Deprince III, D.O.
- Title
- Medical Director
- Phone
- (856) 761-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB06561000 | NJ | Primary |
Addresses
Primary practice location
1919 Greentree Rd
Cherry Hill, NJ 08003-1115
Mailing address
1919 Greentree Rd
Cherry Hill, NJ 08003-1115
Phone (856) 761-8100
National Provider Directory
National Provider DirectoryLocations
1990 State Highway 70 E
Ste 7
Cherry Hill, NJ 08003
Phone (856) 761-8100
1050 Mantua Pike
Wenonah, NJ 08090
Phone (856) 384-6006
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.
-
- Physical Therapist
- Stratford, NJ
- NPI 1457498974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1861562548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 GREENTREE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031115",
"telephone_number": "856-761-8100",
"fax_number": "856-761-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 GREENTREE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031115",
"telephone_number": "856-761-8100",
"fax_number": "856-761-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH JERSEY HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "DEPRINCE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "856-761-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB06561000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- South Jersey Developmental Pediatrics LLC
- South Jersey Ear Nose & Throat Associates P a
- South Jersey Endodontics, PA
- South Jersey Family Dental LLC
- South Jersey Geriatric Care, PC
- South Jersey Health & Wellness Center
- South Jersey Heart Group, PC
- South Jersey Imaging Associates Inc (Upright Imaging of Cherry Hill)
- South Jersey Plastic Surgery
- South Jersey Prosthodontic Assoc. PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.