Organization
SOUTH JERSEY EYE PHYSICIANS, LLC
Active
Other names
Surgical Center at South Jersey Eye Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MAGNIFICO RN (VP ASC OPERATIONS)
(201) 216-1700
Entity
Organization
Contact information
Practice address
509 S LENOLA RD, SUITE 11B, MOORESTOWN, NJ 08057-1561
(856) 234-0222
(856) 727-9518
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3277305
—
NJ
01
—
490002841
RAILROAD MEDICARE
NJ
Enumeration date
04/17/2006
Last updated
04/21/2025
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