SOUTH JERSEY EYE PHYSICIANS, LLC – NPI #1023072824
Clinic/Center

SOUTH JERSEY EYE PHYSICIANS, LLC is an AHC clinic located in MOORESTOWN, NJ. NPPES has assigned the NPI number 1023072824 to SOUTH JERSEY EYE PHYSICIANS, LLC on April 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH JERSEY EYE PHYSICIANS, LLC below.

NPI Profile for
SOUTH JERSEY EYE PHYSICIANS, LLC

NPI Number
1023072824
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH JERSEY EYE PHYSICIANS, LLC
Primary location
509 S LENOLA RD
SUITE 11B
MOORESTOWN, NJ 08057-1561
Phone: (856) 234-0222 Fax: (856) 727-9518
Mailing address
420 MOUNTAIN AVE FL 4
NEW PROVIDENCE, NJ 07974-2736
Phone: (908) 458-8333 Fax:
Organization Subpart
No
Authorized Official
LAUREN MAGNIFICO
VP ASC OPERATIONS
Phone: (201) 216-1700
Updated
Certification Date
Apr 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH JERSEY EYE PHYSICIANS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICARENJ490002841
medicaidNJ3277305
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.