Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC

Organization Orthopaedic Surgery Physician · NPI 1649766411

Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC is an Orthopaedic Surgery Physician in West Deptford, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Jessup Rd Ste 809
West Deptford, NJ 08086-9354
Phone: (856) 690-1616
Fax: (856) 690-1089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (NJ)

Record details

NPI number1649766411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Verna Shepherd — Administrator Of Physician Services · (856) 690-1616
NPI enumeratedJuly 5, 2018
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address352 S Delsea Dr Ste C, Vineland, NJ 08360-5306

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