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
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRTUA MEDICAL GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
John Mark Matsinger, DONPI 1700827292
Title
Evp; Chief Operating Officer
Phone
(856) 355-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

  • Virtua Urgent Care - Westmont Other name

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 10

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

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

National Provider Directory

National Provider Directory
Tax ID family
Virtua Medical Group PA20 organizations share this tax ID, including this one
Part of
Virtua Medical Group PA

Other organizations with this tax ID 19

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

View all 19

Locations

315 Route 70 E
Ste A
Cherry Hill, NJ 08034
Phone (856) 375-6240

175 Madison Ave
Fl 3
Mount Holly, NJ 08060
Phone (609) 914-6198

100 Century Pkwy
Ste 140
Mount Laurel, NJ 08054
Phone (856) 380-2400

614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051

239 Hurffville Crosskeys Rd
Ste 360B
Sewell, NJ 08080

42 E Laurel Rd
Ste 3100B
Stratford, NJ 08084
Phone (856) 566-7070

Practitioners & affiliated clinicians

Practitioners 148

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 148

NPI Registry JSON

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

{
    "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.