# PREMIER ORTHOPAEDIC OF SOUTH JERSEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750426151
- **Authorized official:** TODD M LIPSCHULTZ MD (DR)
- **Authorized official phone:** (856) 853-8004

## Contact information

- **Practice address:** 1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
- **Practice address phone:** (856) 853-8004
- **Practice address fax:** (856) 853-8022
- **Mailing address:** 1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
- **Mailing address phone:** (856) 853-8004
- **Mailing address fax:** (856) 853-8022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MA054868 | NJ | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124197942 | — | NJ |
| 01 | — | 1271200 | CIGNA | NJ |
| 01 | — | 2423391000 | KEYSTONE | NJ |
| 01 | — | 610073 | ADMINISTRATORS | NJ |
| 01 | — | 7002746 | AETNA | NJ |