Healthcare Provider Details

I. General information

NPI: 1619995594
Provider Name (Legal Business Name): SURGICAL & CRITICAL CARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N BROAD ST
WOODBURY NJ
08096-1718
US

IV. Provider business mailing address

127 N BROAD ST
WOODBURY NJ
08096-1718
US

V. Phone/Fax

Practice location:
  • Phone: 856-845-0500
  • Fax: 856-384-8757
Mailing address:
  • Phone: 856-845-0500
  • Fax: 856-384-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN M ERBICELLA
Title or Position: SENIOR MANAGING PARTNER
Credential: MD
Phone: 856-845-0500