Organization
SOUTH JERSEY MEDICAL ASSOCIATES, P.A.
Active
Organization
SOUTH JERSEY MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GEORGE INTELISANO D.O. (PRESIDENT)
(856) 228-0144
Entity
Organization
Contact information
Practice address
1504 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012-4625
(856) 228-0144
(856) 232-0320
Mailing address
1504 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012-4625
(856) 228-0144
(856) 232-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MB05610900
NJ
207RG0100X
Gastroenterology Physician
Primary
MB05610900
NJ
Other
Enumeration date
01/19/2007
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up