Salem Clinic Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SALEM CLINIC CORP

Practice address

8 Bypass Road
Salem, NJ 08079

Phone

(856) 935-2750

Fax

(856) 935-0105

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary D Newsome

Title

President

Phone

(615) 373-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Salem County Surgical Associates Doing business as

Tax ID family

Salem Clinic Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Salem Clinic Corp

  • Obstetrics & Gynecology Physician
  • Logan Township, NJ
  • NPI 1306846001
  NPD tax ID
• Salem Clinic Corp

  • Pediatrics Physician
  • Salem, NJ
  • NPI 1578563052
  NPD tax ID

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881694032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BYPASS ROAD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-935-2750",
            "fax_number": "856-935-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BYPASS ROAD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-935-2750",
            "fax_number": "856-935-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-373-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem County Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Korinne Roane, NP
• Douglas Rutledge, APN
• Salem ASC LLC
• Salem City BD of Education
• Salem Clinic Corp
• Salem County Hospital Corp.
• Salem County Improvement Authority
• Salem County Nursing Home
• Salem County Office on Aging
• Salem Home Care Services LLC

• Surgery Physician in Salem, NJ
• Providers in Salem, NJ by specialty
• Surgery Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.