NPIMap

Organization Active NPI

Southern Jersey Family Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
National Provider Identifier
1891222923
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
Practice address
3003 English Creek Ave Ste C6
Egg Harbor Township, NJ 08234-4818
Phone
(609) 481-3185
Fax
(609) 569-0104
NPI assigned
May 19, 2017
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Esther Williams Carpenter
Title
President/Ceo
Phone
(609) 567-0434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3003 English Creek Ave Ste C6
Egg Harbor Township, NJ 08234-4818

Mailing address

1 Executive Dr Ste 400
Marlton, NJ 08053-4278
Phone (609) 567-0434

Other identifiers 1

IdentifierTypeStateIssuer
0590622MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061205000714 NJ Part A Provider - Federally Qualified Health Center (FQHC) 0547170763 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hammonton, NJ
O20180102000534 NJ Part A Provider - Federally Qualified Health Center (FQHC) 0547170763 Practice locations: Egg Harbor Township, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891222923. Details of each certification follow.

Federally qualified health center certification: CCN 311804

Legal name
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1977 in NJ
Enrollment address
860 S White Horse Pike
Hammonton, NJ 80372018

Federally qualified health center certification: CCN 311937

Legal name
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 2, 2018
Last certification
Jan 2, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1977 in NJ
Enrollment address
3003 English Creek Ave
Ste C6
Egg Harbor Township, NJ 82344818

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southern Jersey Family Medical Centers4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda Y Flake Individual Corporate DirectorPresident/Ceo May 4, 1992 100%
Operational/Managerial ControlPresident/Ceo Mar 16, 2007 100%
Miguel Bermudez Individual Corporate DirectorBoard Member May 3, 2008
Corporate Director May 3, 2008
Nellie Rodriguez Individual Corporate DirectorBoard Member May 3, 2008
Corporate Director May 3, 2008
Teresa Kelly Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Mar 16, 2007
Christopher Colon Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Mar 16, 2007
Jose a Camacho Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Mar 16, 2007
Norman King Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Mar 16, 2007
Reginald Floyd Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Mar 16, 2007
Jocelyn Tyson Individual Corporate DirectorBoard Member May 3, 2008
Corporate Director May 3, 2008
Sylvia K Rigby Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Jan 1, 2018
Connie Troilo Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate Director Jan 1, 2018
Carol Ramsey Individual Corporate DirectorBoard Member Mar 16, 2007
Corporate Director Jan 1, 2018
Esther William Carpenter Individual Corporate DirectorPresident/ Ceo, Interim Jan 6, 2026 100%
Operational/Managerial ControlPresident/Ceo, Interim Jan 6, 2026 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1891222923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 400",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534278",
            "telephone_number": "609-567-0434",
            "fax_number": "609-704-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 ENGLISH CREEK AVE STE C6",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344818",
            "telephone_number": "609-481-3185",
            "fax_number": "609-569-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS CARPENTER",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-567-0434"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590622",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.