Organization Active NPI

South Jersey Health & Wellness

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1861562548
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06561000 Issued in NJ
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.