MEDICARE: ASSOCIATED PHYSIATRISTS OF SOUTHERN NEW JERSEY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	CE2009	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	062887	OTHER	NJ	AMERIHEALTH ADMINISTRATOR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J814	OTHER	NJ	AMERIGROUP
4	0075563000	OTHER	NJ	AMERIHEALTH / KEYSTONE
5	1018429	OTHER	NJ	HORIZON NJ HEALTH
6	114311500	OTHER	NJ	US DEPT OF LABOR
8	90000080900	OTHER	NJ	AMERICHOICE
9	30056	OTHER	NJ	AETNA

General Provider Information

NPI Number	:	1396785812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED PHYSIATRISTS OF SOUTHERN NEW JERSEY PA

Provider Business Mailing Address
First Line	:	216 HADDON AVE STE 106
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08108-2810
Country	:	US
Telephone Number	:	856-833-1790
Fax Number	:	856-833-1793

Provider Business Practice Location Address
First Line	:	216 HADDON AVE STE 106
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08108-2810
Country	:	US
Telephone Number	:	856-833-1790
Fax Number	:	856-833-1793

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD J GALLAGHER
Credential	:	M.D.
Telephone Number	:	856-833-1790

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/21/2025

Similar Medicare Providers

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Practice Location Address:

216 HADDON AVE STE 106
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Directions to “ASSOCIATED PHYSIATRISTS OF SOUTHERN NEW JERSEY PA ” Practice Location

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