NPIMap

Individual provider Active NPI

Sasa Redzic, D.O.

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1982130456
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10902300 Issued in NJ
Practice address
1020 Laurel Oak Rd Ste 102
Voorhees, NJ 08043-3518
Phone
(856) 783-1777
Fax
(856) 783-8519
NPI assigned
May 3, 2017
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10902300 NJ Primary

Addresses

Primary practice location

1020 Laurel Oak Rd Ste 102
Voorhees, NJ 08043-3518

Mailing address

1020 Laurel Oak Rd Ste 102
Voorhees, NJ 08043-3518
Phone (856) 783-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007001217 NJ Practitioner - Family Practice 7517200447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518
Phone (856) 783-1777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10902300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Sep 24, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 24, 2020 Accepting new patients

Locations

1020 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 435-8842

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1982130456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAUREL OAK RD STE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433518",
            "telephone_number": "856-783-1777",
            "fax_number": "856-783-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAUREL OAK RD STE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433518",
            "telephone_number": "856-783-1777",
            "fax_number": "856-783-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDZIC",
        "first_name": "SASA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10902300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.