Organization Active NPI

Hand Surgery & Rehabilitation Center of New Jersey, PA

  • Surgery of the Hand (Surgery) Physician
  • Marlton, NJ
National Provider Identifier
1972673713
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
24019 Issued in NJ
Legal business name
HAND SURGERY & REHABILITATION CENTER OF NEW JERSEY, PA
Practice address
5000 Sagemore Dr
Suite 103
Marlton, NJ 08053-4307
Phone
(856) 983-4263
Fax
(856) 983-0674
NPI assigned
Nov 9, 2006
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Frederick L. Ballet, M.D.NPI 1902990443
Title
President
Phone
(856) 983-4263

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
Surgery of the Hand (Surgery) Physician 2086S0105X 24019 NJ Primary

Addresses

Primary practice location

5000 Sagemore Dr
Suite 103
Marlton, NJ 08053-4307

Mailing address

5000 Sagemore Drive
Suite 103
Marlton, NJ 08053
Phone (856) 983-4263

Other identifiers 10

IdentifierTypeStateIssuer
0550440000OtherNJAMERIHEALTH GROUP NUMBER
658819OtherNJHIGHMARK GROUP NUMBER
714037OtherNJHORIZON GROUP NUMBER
IL2400OtherNJHEALTHNET GROUP NUMBER
3733521BOtherNJCIGNA GROUP NUMBER
736734OtherNJUNITED HEALTH GROUP NUMBE
0550440000OtherNJKEYSTONE GROUP NUMBER
34931OtherNJAETNA GROUP NUMBER
0201950001OtherNJMEDICARE NSC
9661087OtherNJGHI GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

5045 Route 130
Delran, NJ 08075
Phone (856) 461-1717

5000 Sagemore Dr
Ste 103
Marlton, NJ 08053
Phone (609) 983-7075

547 New Rd
Somers Point, NJ 08244
Phone (609) 653-4800

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1972673713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DRIVE",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-4263",
            "fax_number": "856-983-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534307",
            "telephone_number": "856-983-4263",
            "fax_number": "856-983-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND SURGERY & REHABILITATION CENTER OF NEW JERSEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "BALLET",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-983-4263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "24019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "0550440000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "658819",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON GROUP NUMBER",
            "identifier": "714037",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP NUMBER",
            "identifier": "IL2400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "3733521B",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH GROUP NUMBE",
            "identifier": "736734",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE GROUP NUMBER",
            "identifier": "0550440000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "34931",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0201950001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI GROUP NUMBER",
            "identifier": "9661087",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.