NPIMap

Organization Active NPI

Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Haddon Township, NJ
National Provider Identifier
1932659778
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VIRTUA MEDICAL GROUP, PA
Practice address
602 W Cuthbert Blvd Unit 26 Ste a
Haddon Township, NJ 08108-3642
Phone
(856) 946-5180
Fax
(856) 946-5181
NPI assigned
Oct 5, 2016
Organization subpart
Yes
Parent organization
VIRTUA MEDICAL GROUP, PAAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
John Mark Matsinger, DO
Title
Evp; Chief Operating Officer
Phone
(856) 355-0340

Other NPIs on the same Medicare enrollment 10

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

Corporate family (same tax ID) 19

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

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 147

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
31D2131570Virtua Express/Urgent Care Westmont602 W Cuthbert Boulevard, Unit 26, Haddon Township, NJ 08108Certificate of waiverMay 31, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100804000338 NJ Part B Supplier - Clinic/Group Practice 9830222397 Receives reassigned benefits from 2,240 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Virtua Medical Group PA (20 organizations share this tax ID)
Part of
Virtua Medical Group PA

Locations

1945 Route 70 E
Ste D
Cherry Hill, NJ 08003

401 Young Ave
Ste 275A
Moorestown, NJ 08057
Phone (856) 206-4786

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

602 W Cuthbert Blvd Unit 26 Ste a
Haddon Township, NJ 08108-3642

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other names 1

NPPES NPI Registry
  • Virtua Urgent Care - Westmont Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2024.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1932659778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W CUTHBERT BLVD UNIT 26 STE A",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081083642",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA MEDICAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA MEDICAL GROUP, PA",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MATSINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EVP; CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-355-0340",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtua Urgent Care - Westmont",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.