Organization Active NPI

Umdnj-Som

  • General Acute Care Hospital
  • Sicklerville, NJ
National Provider Identifier
1861703605
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UMDNJ-SOM
Practice address
147 White Cedar Dr
Sicklerville, NJ 08081-3424
Phone
(570) 436-2471
NPI assigned
Jun 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Carl Mogil, D.O.
Title
Director of Medical Education
Phone
(856) 566-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

147 White Cedar Dr
Sicklerville, NJ 08081-3424

Mailing address

147 White Cedar Dr
Sicklerville, NJ 08081-3424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1861703605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WHITE CEDAR DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WHITE CEDAR DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813424",
            "telephone_number": "570-436-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ-SOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-26",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "MOGIL",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL EDUCATION",
        "authorized_official_telephone_number": "856-566-6708",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.