NPIMap

Organization Active NPI

SJV Management, LLC

Doing business as South Jersey Vascular Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
National Provider Identifier
1861913220
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SJV MANAGEMENT, LLC
Doing business as
South Jersey Vascular Surgery Center
Practice address
200 Century Pkwy Ste E
Mount Laurel, NJ 08054-1150
Phone
(856) 482-2800
NPI assigned
Jul 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey E Turek
Title
Business Manager
Phone
(856) 482-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

200 Century Pkwy Ste E
Mount Laurel, NJ 08054-1150

Mailing address

200 Century Pkwy Ste E
Mount Laurel, NJ 08054-1150
Phone (856) 482-2800

Other names 1

  • South Jersey Vascular Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210525003251 NJ Part B Supplier - Ambulatory Surgical Center 8820497795 Practice locations: Mount Laurel, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
SJV Management LLC Dba South Jersey Vascular Surgery CenterCCN 31C0001347
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2120371South Jersey Vascular Surgery Center200 Century Parkway, Mount Laurel, NJ 08054Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

200 Century Pkwy
Ste E
Mount Laurel, NJ 08054
Phone (856) 482-2800

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861913220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY STE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY STE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TUREK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "856-482-2800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jersey Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.