Healthcare Provider Details

I. General information

NPI: 1073567095
Provider Name (Legal Business Name): REGIONAL ORTHOPEDIC PROFESSIONAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 COOPER LANDING RD
CHERRY HILL NJ
08002
US

IV. Provider business mailing address

PO BOX 8850
TURNERSVILLE NJ
08012-8850
US

V. Phone/Fax

Practice location:
  • Phone: 856-663-7080
  • Fax: 856-663-4945
Mailing address:
  • Phone: 856-875-7080
  • Fax: 856-875-1368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: BARRY S. GLEIMER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 856-663-7080