Organization Active NPI

Inspira Medical Centers, Inc.

  • Emergency Care Clinic/Center
  • Woodbury, NJ
National Provider Identifier
1972141091
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
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

Updated by the provider on Dec 19, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3674509MedicaidNJ

Other names 9

  • Inspira Adult Partial Hospitalization Program Woodbury Doing business as
  • Inspira Cardiovascular Diagnostic Center West Deptford Doing business as
  • Inspira Children's Behavioral Health Center Woodbury Doing business as
  • Inspira Healh Center Woodbury Doing business as
  • Inspira Health Center Glassboro Doing business as
  • Inspira Heart Center Woodbury Doing business as
  • Inspira Sleep Center Woodbury Doing business as
  • Inspira Sports Rehab Care West Deptford Doing business as
  • Inspria Behavioral Wellness Woodbury Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Incorporated
Jul 1, 1985 in NJ
Enrollment address
30 Oak St
Woodbury, NJ 80961677
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Hospital certification: CCN 310032A

Legal name
INSPIRA MEDICAL CENTERS INC
Doing business as
INSPIRA HEALTH CENTER WOODBURY
Organization structure
CorporationNon-profit
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.

National Provider Directory

National Provider Directory

Member organizations 15

Organizations listed as members of this organization in the National Provider Directory.

View all 15

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.

NameRoleSinceShare
Warren E. Moore Individual Corporate OfficerExecutive VP and Coo Jul 12, 2021 100%
W-2 Managing EmployeeExecutive VP and Coo Jul 12, 2021 100%
Operational/Managerial ControlExecutive VP and Coo Jul 12, 2021 100%
Owen J Giryluk Individual W-2 Managing EmployeeDirector of Strategic Finance Jan 1, 2021
W-2 Managing EmployeeDirector of Strategic Finance Jul 1, 2014 100%
James T O'Connell Individual W-2 Managing EmployeeDirector of Revenue Cycle Apr 18, 2008
W-2 Managing EmployeeDirector Revenue Cycle Apr 18, 2008 100%
Lydia Stockman Individual Corporate OfficerSr. VP and Chief Admin. Officer Jan 16, 2023 100%
W-2 Managing EmployeeSr. VP and Chief Admin. Officer Jan 16, 2023 100%
Operational/Managerial ControlSr. VP and Chief Admin. Officer Jan 16, 2023 100%
William Pelino Individual Corporate OfficerSenior VP and Cfo Feb 6, 2023 100%
W-2 Managing EmployeeSr. VP and Cfo Feb 6, 2023 100%
Operational/Managerial ControlSenior VP and Cfo Feb 6, 2023 100%
Inspira Health Network Inc Organization, Mullica Hill, NJ Corporation, Non-profit 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 Individual W-2 Managing EmployeeDirector of Reimbursement Jul 23, 2023 100%
Amy B Mansue Individual Corporate OfficerPresident & Ceo Sep 1, 2020 100%
W-2 Managing EmployeePresident & Ceo Sep 1, 2020 100%
Operational/Managerial ControlPresident & Ceo Sep 1, 2020 100%
Corporate OfficerPresident and Ceo Sep 1, 2020 100%
W-2 Managing EmployeePresident and Ceo 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

Verify at the official NPI Registry.