SOUTH MAIN MEDICAL ASSOCIATES, LLC
NPI 1346537917
Internal Medicine in Vineland, NJ
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Main Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Main Medical Associates, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is South Main Medical Associates, LLC enrolled in Medicare?
Yes. South Main Medical Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Main Medical Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to South Main Medical Associates, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does South Main Medical Associates, LLC accept?
Health plans from Oscar Health list South Main Medical Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# South Main Medical Associates, Llc · NPI 1346537917
Internal Medicine organization in Vineland, New Jersey. Organization record, active in the CMS NPPES registry since July 5, 2011.
## Identity
- **NPI:** 1346537917 (Entity type: Organization)
- **Enumerated:** July 5, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Olga Kaczaj, OWNER
## Practice location
- **Address:** 1317 S MAIN RD, SUITE 2 C, Vineland, NJ 08360-6511
- **Phone:** (856) 213-6080 · **Fax:** (856) 213-6092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346537917) · Data from the CMS NPPES public registry.