Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC
NPI 1396812574ActiveOrganization· Orthopaedic Surgery· Vineland, NJ
Orthopaedic Surgery in Vineland, New Jersey, registered in NPPES in November 2006. The authorized official on file is Verna M. Shepherd, Administrator Of Physician Services. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1396812574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Apr 29, 2020 |
| Certified by provider | Apr 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | MA63862 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Orthopaedic Surgery providers in Vineland
- 1205910676
- 1982778908
- 1083932768
- 1376164400
- 1851882666
- 1679979090
- 1609949148
- 1558431296
- 1275217440
- 1427309210
- 1659446607
- 1609941657