SOUTH MAIN MEDICAL ASSOCIATES, LLC
NPI 1346537917
Internal Medicine in Vineland, NJ

Active since July 05, 2011CLIA 31D2179545 · Waiver
1317 S MAIN RD, SUITE 2 C, VINELAND, NJ 08360(856) 213-6080(856) 213-6092 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Main Medical Associates, Llc NPPES

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

SOUTH MAIN MEDICAL ASSOCIATES, LLC (NPI 1346537917) is a healthcare organization registered as an internal medicine in Vineland, New Jersey and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Olga Kaczaj, Owner, as its authorized official.

NPPES Registry Identity

NPI1346537917
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH MAIN MEDICAL ASSOCIATES, LLC
Location Address1317 S MAIN RD, SUITE 2 CVineland, NJ 08360-6511
Mailing Address1317 S Main Rd, Suite 2 CVineland, NJ 08360-6511 · (856) 213-6080 · Fax (856) 213-6092
Fax(856) 213-6092
Organization SubpartNo
Authorized OfficialOlga KaczajOwner · (856) 213-6080
Enumeration DateJuly 5, 2011
NPI 1346537917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1317 S MAIN RD, Vineland, NJ 08360

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2179545

South Main Medical Associates · Vineland, NJ
Active · expires Feb 25, 2028
CLIA Number31D2179545
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorOlga Kaczaj
Laboratory Phone(856) 213-6080
Laboratory LocationSouth Main Medical Associates1317 S Main Road, Unit 2C, Vineland, NJ 08360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1317 S MAIN RD
VINELAND, NJ 08360
Optometrist
1317 S MAIN RD
VINELAND, NJ 08360
Internal Medicine
1317 S MAIN RD, UNIT 2C
VINELAND, NJ 08360
Chiropractor
1317 S MAIN RD, UNIT#2C
VINELAND, NJ 08360
Optometrist
1317 S MAIN RD
VINELAND, NJ 08360
Nurse Practitioner (Psychiatric/Mental Health)
1317 S MAIN RD
VINELAND, NJ 08360
Family Medicine
1317 S MAIN RD, 2A
VINELAND, NJ 08360
Nurse Practitioner (Adult Health)
1317 S MAIN RD, UNIT 2C
VINELAND, NJ 08360

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 Main Medical Associates, LLC's NPI number?

The NPI number for South Main Medical Associates, LLC is 1346537917. It was assigned to this organization in the NPPES registry on July 5, 2011.

Where is South Main Medical Associates, LLC located?

South Main Medical Associates, LLC is located at 1317 S Main Rd Suite 2 C, Vineland, NJ 08360. The listed phone number is (856) 213-6080.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does South Main Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2179545) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Main Medical Associates, LLC was last updated on July 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.