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SOUTH JERSEY MEDICAL ASSOCIATES, LLC
NPI 1215588447
Family Medicine - Addiction Medicine in Rio Grande, NJ

Active since September 29, 2019
1304 ROUTE 47 UNIT WU-N2ND, RIO GRANDE, NJ 08242(609) 451-1125(609) 438-7944 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jul 18, 2023, Sep 29, 2019 (3 updates tracked since 2019).

About South Jersey Medical Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH JERSEY MEDICAL ASSOCIATES, LLC (NPI 1215588447) is a healthcare organization registered as an addiction medicine in Rio Grande, New Jersey and active in the NPI registry since September 2019. The organization lists Jason Christopher Graham, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1215588447
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSOUTH JERSEY MEDICAL ASSOCIATES, LLC
Location Address1304 ROUTE 47 UNIT WU-N2NDRio Grande, NJ 08242-1399
Mailing Address1304 Route Route 47 South, Unit Wu-n - 2nd FloorRio Grande, NJ 08242 · (609) 451-1125
Phone(609) 451-1125
Fax(609) 438-7944
Organization SubpartNo
Authorized OfficialJason Christopher GrahamCo-owner · (609) 451-1125
Enumeration DateSeptember 29, 2019
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1215588447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1304 ROUTE 47 UNIT WU-N2ND, Rio Grande, NJ 08242
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Other Identifiers 2

Medicaid0561053NJ
Medicaid0697320NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Jersey Medical Associates, LLC's NPI number?

The NPI number for South Jersey Medical Associates, LLC is 1215588447. It was assigned to this organization in the NPPES registry on September 29, 2019.

Where is South Jersey Medical Associates, LLC located?

South Jersey Medical Associates, LLC is located at 1304 Route 47 Unit Wu-N2nd, Rio Grande, NJ 08242. The listed phone number is (609) 451-1125.

What is South Jersey Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for South Jersey Medical Associates, LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.