INSPIRA HEALTH CENTER WOODBURY
Complete NPI Record 1003661554
Clinic/Center - Emergency Care in Woodbury, NJ
Active since April 18, 2024CLIA Certified · 2 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Inspira Health Center Woodbury (NPI 1003661554), a clinic/center organization in Woodbury, NJ. All 39 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1003661554 Field 1/39
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/39
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/39
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: INSPIRA MEDICAL CENTERS, INC. Field 4/39
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: INSPIRA HEALTH CENTER WOODBURY Field 5/39
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/39
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 333 IRVING AVE Field 7/39
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BRIDGETON Field 8/39
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NJ Field 9/39
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 083022123 Field 10/39
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/39
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8565754777 Field 12/39
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 30 OAK ST Field 13/39
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WOODBURY Field 14/39
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NJ Field 15/39
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 080961677 Field 16/39
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/39
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8568450100 Field 18/39
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: PELINO Field 21/39
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: WILLIAM Field 22/39
- The first name of the authorized official.
- Authorized Official Middle Name: D Field 23/39
- The middle name of the authorized official.
- Authorized Official Title or Position: SR. VICE PRESIDENT & CFO Field 24/39
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8566416605 Field 25/39
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QE0002X Field 26/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261QI0500X Field 28/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 29/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 261QM0850X Field 30/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 31/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 261QM0855X Field 32/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: N Field 33/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 5: 261QP2000X Field 34/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 5: N Field 35/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 6: 261QS1200X Field 36/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 6: N Field 37/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 38/39
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 9
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
17 W Red Bank Ave Ste 308
Location 1/9Woodbury, NJ 08096-1630 · Phone (853) 853-2020 · Fax (856) 686-5119
485 Williamstown Rd
Location 2/9Sicklerville, NJ 08081-1777 · Phone (856) 885-2780 · Fax (856) 221-4104
17 W Red Bank Ave Ste 302B
Location 3/9Woodbury, NJ 08096-1630 · Phone (856) 853-2020
104 W Red Bank Ave
Location 4/9West Deptford, NJ 08096-3407 · Phone (856) 251-9059
800 Jessup Rd Ste 809
Location 5/9West Deptford, NJ 08086-9354 · Phone (856) 848-6124 · Fax (856) 848-5351
17 W Red Bank Ave Ste 106
Location 6/9Woodbury, NJ 08096-1630 · Phone (856) 853-2020
200 Rowan Blvd
Location 7/9Glassboro, NJ 08028-2260 · Phone (856) 595-9115
17 W Red Bank Ave Ste 302A
Location 8/9Woodbury, NJ 08096-1630 · Phone (856) 853-2020
698 Mullica Hill Rd Ste 200
Location 9/9Mullica Hill, NJ 08062-4453 · Phone (856) 508-3577
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