NPIMap

Organization Active NPI

Fellowship Spine Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
National Provider Identifier
1891858833
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FELLOWSHIP SPINE SURGICAL CENTER LLC
Practice address
715 Fellowship Rd
Suite a
Mount Laurel, NJ 08054-1003
Phone
(913) 387-0582
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Reed Martin
Title
Group Vice President
Phone
(913) 387-0582

Specialties & licenses 1

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

Addresses

Primary practice location

715 Fellowship Rd
Suite a
Mount Laurel, NJ 08054-1003

Mailing address

715 Fellowship Rd
Suite a
Mount Laurel, NJ 08054-1003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1891858833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FELLOWSHIP RD",
            "address_2": "SUITE A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FELLOWSHIP RD",
            "address_2": "SUITE A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541003",
            "telephone_number": "913-387-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP SPINE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "REED",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "913-387-0582"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 3, 2009; 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.