MEDFORD SURGICAL PRACTICE
NPI 1821157371
Specialist in Hainesport, NJ

Q: What is Medford Surgical Practice's NPI number?

The NPI number for Medford Surgical Practice is 1821157371. It was assigned to this organization in the NPPES registry on December 8, 2006.

Q: What is Medford Surgical Practice's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 08, 2006

212 CREEK CROSSING BLVD, HAINESPORT, NJ 08036(609) 267-1004(609) 267-1044 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medford Surgical Practice NPPES

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

MEDFORD SURGICAL PRACTICE (NPI 1821157371) is a healthcare organization registered as a specialist in Hainesport, New Jersey and active in the NPI registry since December 2006. The organization lists Tara L Kowalewski, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1821157371

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMEDFORD SURGICAL PRACTICE

Location Address212 CREEK CROSSING BLVDHainesport, NJ 08036-2766

Mailing Address212 Creek Crossing BlvdHainesport, NJ 08036-2766 · (609) 267-1004 · Fax (609) 267-1044

Phone(609) 267-1004

Fax(609) 267-1044

Organization SubpartNo

Authorized OfficialTara L KowalewskiBilling Manager · (856) 753-0913

Enumeration DateDecember 8, 2006

Last NPPES UpdateMay 22, 2009

✔ NPI 1821157371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

212 CREEK CROSSING BLVD, Hainesport, NJ 08036

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Other Identifiers 3

Medicare PIN648099NJ

Medicare PINCE8831

Medicaid3458806NJ

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

Other Providers at the Same Location NPPES 10

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

DR. JOSEPH MICHAEL ROMILLA ZUNIGA MD

Surgery (Vascular Surgery)