Active NPI
Inspira Medical Centers, Inc.
- Emergency Care Clinic/Center
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- INSPIRA MEDICAL CENTERS, INC.
- Practice address
- 509 N Broad St
Woodbury, NJ 08096-1617 - Phone
- (856) 845-0100
- Fax
- (856) 845-4006
- NPI assigned
- Dec 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Thomas O'Connell
- Title
- Director Revenue Cycle
- Phone
- (856) 575-4777
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | |||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
509 N Broad St
Woodbury, NJ 08096-1617
Mailing address
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4777
Other practice location 1
537 N Broad St
Woodbury, NJ 08096-1603
Phone (800) 467-7472
Other practice location 2
636 Kings Hwy Ste C
West Deptford, NJ 08096-3164
Phone (856) 845-9666
Other practice location 3
104 W Red Bank Ave
West Deptford, NJ 08096-3407
Phone (856) 845-0100
Other practice location 4
17 W Red Bank Ave
Woodbury, NJ 08096-1630
Phone (856) 251-3300
Other practice location 5
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 853-2131
Other practice location 6
800 Jessup Rd Ste 809
West Deptford, NJ 08086-9354
Phone (856) 848-6124
Other practice location 7
200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 595-9115
Other practice location 8
17 W Red Bank Ave Ste 301
Woodbury, NJ 08096-1630
Phone (800) 467-7472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3674509 | Medicaid | NJ |
Other names 9
- Inspira Adult Partial Hospitalization Program Woodbury
- Inspira Cardiovascular Diagnostic Center West Deptford
- Inspira Children's Behavioral Health Center Woodbury
- Inspira Healh Center Woodbury
- Inspira Health Center Glassboro
- Inspira Heart Center Woodbury
- Inspira Sleep Center Woodbury
- Inspira Sports Rehab Care West Deptford
- Inspria Behavioral Wellness Woodbury
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200103000405 | NJ | Part A Provider - Hospital | 0345232997 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbury, NJ |
| O20200103000453 | NJ | Part A Provider - Hospital | 0345232997 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glassboro, NJ; Mullica Hill, NJ; Sicklerville, NJ; West Deptford, NJ; Woodbury, NJ |
Hospital certification: CCN 31S032A
- Legal name
- INSPIRA MEDICAL CENTERS INC
- Doing business as
- INSPIRA INPATIENT ADULT BEHAVIORAL HEALTH WOODBURY
- Organization structure
- Corporation
- Incorporated
- Jul 1, 1985 in NJ
- Enrollment address
- 30 Oak St
Woodbury, NJ 80961677 - Hospital subgroups
- Psychiatric unit
Hospital certification: CCN 310032A
- Legal name
- INSPIRA MEDICAL CENTERS INC
- Doing business as
- INSPIRA HEALTH CENTER WOODBURY
- Organization structure
- Corporation
- Incorporated
- Jul 1, 1985 in NJ
- Enrollment address
- 30 Oak St
Woodbury, NJ 80961677 - Hospital subgroups
- General
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Care Clinic/Center
- Woodbury, NJ
- NPI 1003661554
O20200103000453
National Provider Directory
National Provider DirectoryMember organizations 15
Organizations listed as members of this organization in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeton, NJ
- NPI 1699323824
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Williamstown, NJ
- NPI 1003474685
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Millville, NJ
- NPI 1588808661
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Vineland, NJ
- NPI 1619907417
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plainsboro, NJ
- NPI 1225508088
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mays Landing, NJ
- NPI 1093270696
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Millville, NJ
- NPI 1255875290
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeton, NJ
- NPI 1639613649
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Vineland, NJ
- NPI 1972047918
Member Of
Locations
636 Kings Hwy
Ste C
West Deptford, NJ 08096
Phone (856) 433-4264
537 N Broad St
Woodbury, NJ 08096
Phone (800) 467-7472
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Warren E. Moore | Corporate Officer | Jul 12, 2021 | 100% |
| W-2 Managing Employee | Jul 12, 2021 | 100% | |
| Operational/Managerial Control | Jul 12, 2021 | 100% | |
| Owen J Giryluk | W-2 Managing Employee | Jan 1, 2021 | |
| W-2 Managing Employee | Jul 1, 2014 | 100% | |
| James T O'Connell | W-2 Managing Employee | Apr 18, 2008 | |
| W-2 Managing Employee | Apr 18, 2008 | 100% | |
| Lydia Stockman | Corporate Officer | Jan 16, 2023 | 100% |
| W-2 Managing Employee | Jan 16, 2023 | 100% | |
| Operational/Managerial Control | Jan 16, 2023 | 100% | |
| William Pelino | Corporate Officer | Feb 6, 2023 | 100% |
| W-2 Managing Employee | Feb 6, 2023 | 100% | |
| Operational/Managerial Control | Feb 6, 2023 | 100% | |
| Inspira Health Network Inc | 5% Or Greater Direct Ownership Interest | Dec 15, 2019 | 100% |
| Operational/Managerial Control | Dec 15, 2019 | 100% | |
| 5% Or Greater Direct Ownership Interest | May 1, 2013 | 100% | |
| Jeffrey S. Smaniotto | W-2 Managing Employee | Jul 23, 2023 | 100% |
| Amy B Mansue | Corporate Officer | Sep 1, 2020 | 100% |
| W-2 Managing Employee | Sep 1, 2020 | 100% | |
| Operational/Managerial Control | Sep 1, 2020 | 100% | |
| Corporate Officer | Sep 1, 2020 | 100% | |
| W-2 Managing Employee | Sep 1, 2020 | 100% | |
| Operational/Managerial Control | Sep 1, 2020 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1972141091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 IRVING AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022123",
"telephone_number": "856-575-4777",
"fax_number": "856-575-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961617",
"telephone_number": "856-845-0100",
"fax_number": "856-845-4006"
}
],
"practiceLocations": [
{
"address_1": "537 N Broad St",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080961603",
"country_code": "US",
"telephone_number": "800-467-7472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "636 Kings Hwy Ste C",
"address_purpose": "LOCATION",
"city": "West Deptford",
"state": "NJ",
"postal_code": "080963164",
"country_code": "US",
"telephone_number": "856-845-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 W Red Bank Ave",
"address_purpose": "LOCATION",
"city": "West Deptford",
"state": "NJ",
"postal_code": "080963407",
"country_code": "US",
"telephone_number": "856-845-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 W Red Bank Ave",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080961630",
"country_code": "US",
"telephone_number": "856-251-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 W Red Bank Ave",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080961694",
"country_code": "US",
"telephone_number": "856-853-2131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Jessup Rd Ste 809",
"address_purpose": "LOCATION",
"city": "West Deptford",
"state": "NJ",
"postal_code": "080869354",
"country_code": "US",
"telephone_number": "856-848-6124",
"fax_number": "856-848-5351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Rowan Blvd",
"address_purpose": "LOCATION",
"city": "Glassboro",
"state": "NJ",
"postal_code": "080282260",
"country_code": "US",
"telephone_number": "856-595-9115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 W Red Bank Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080961630",
"country_code": "US",
"telephone_number": "800-467-7472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INSPIRA MEDICAL CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
"authorized_official_telephone_number": "856-575-4777"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0404X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3674509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inspira Adult Partial Hospitalization Program Woodbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Cardiovascular Diagnostic Center West Deptford",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Children's Behavioral Health Center Woodbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Healh Center Woodbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Health Center Glassboro",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Heart Center Woodbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Sleep Center Woodbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspira Sports Rehab Care West Deptford",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inspria Behavioral Wellness Woodbury",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.