Organization Active NPI

South Jersey Primary Care Physicians & Rehabilitation Center P.C.

  • Family Medicine Physician
  • Pennsauken, NJ
National Provider Identifier
1972735116
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05524000 Issued in NJ
Legal business name
SOUTH JERSEY PRIMARY CARE PHYSICIANS & REHABILITATION CENTER P.C.
Practice address
3801 Marlton Pike
Pennsauken, NJ 08110
Phone
(856) 910-8889
Fax
(856) 910-8755
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Dean A. Newton, D.O.
Title
Medical Director
Phone
(856) 910-8889

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC000341700 NJ
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MB05524000 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00638000 NJ

Addresses

Primary practice location

3801 Marlton Pike
Pennsauken, NJ 08110

Mailing address

3801 Marlton Pike
Pennsauken, NJ 08110
Phone (856) 910-8889

National Provider Directory

National Provider Directory

Locations

3801 Marlton Pike
Pennsauken, NJ 08110
Phone (856) 845-6110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1972735116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARLTON PIKE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "08110",
            "telephone_number": "856-910-8889",
            "fax_number": "856-910-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARLTON PIKE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "08110",
            "telephone_number": "856-910-8889",
            "fax_number": "856-910-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY PRIMARY CARE PHYSICIANS & REHABILITATION CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-910-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC000341700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05524000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00638000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.