SOUTH JERSEY MEDICAL ASSOCIATES, P.A.
NPI 1669525960
Internal Medicine - Gastroenterology in Blackwood, NJ

Active since January 19, 2007
1504 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012(856) 228-0144(856) 232-0320 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Jersey Medical Associates, P.a. NPPES

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

SOUTH JERSEY MEDICAL ASSOCIATES, P.A. (NPI 1669525960) is a healthcare organization registered as a gastroenterology in Blackwood, New Jersey and active in the NPI registry since January 2007. The organization lists Ronald George Intelisano, President, as its authorized official.

NPPES Registry Identity

NPI1669525960
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTH JERSEY MEDICAL ASSOCIATES, P.A.
Location Address1504 BLACKWOOD CLEMENTON RDBlackwood, NJ 08012-4625
Mailing Address1504 Blackwood Clementon RdBlackwood, NJ 08012-4625 · (856) 228-0144 · Fax (856) 232-0320
Fax(856) 232-0320
Organization SubpartNo
Authorized OfficialRonald George IntelisanoPresident · (856) 228-0144
Enumeration DateJanuary 19, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1669525960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · MB05610900
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MB05610900 (NJ)
1504 BLACKWOOD CLEMENTON RD, Blackwood, NJ 08012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Internal Medicine
1504 BLACKWOOD CLEMENTON RD
BLACKWOOD, NJ 08012
Family Medicine
1504 BLACKWOOD CLEMENTON RD
BLACKWOOD, NJ 08012

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, P.A.'s NPI number?

The NPI number for South Jersey Medical Associates, P.A. is 1669525960. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is South Jersey Medical Associates, P.A. located?

South Jersey Medical Associates, P.A. is located at 1504 Blackwood Clementon Rd, Blackwood, NJ 08012. The listed phone number is (856) 228-0144.

What is South Jersey Medical Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for South Jersey Medical Associates, P.A. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.