Active NPI
Umdnj-Som
- General Acute Care Hospital
- Sicklerville, NJ
National Provider Identifier
1861703605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.