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

South Jersey Medical Associates, PA

Organization Internal Medicine Physician · NPI 1669525960

South Jersey Medical Associates, PA is an Internal Medicine Physician in Blackwood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 Blackwood Clementon Rd
Blackwood, NJ 08012-4625
Phone: (856) 228-0144
Fax: (856) 232-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MB05610900 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MB05610900 (NJ)

Record details

NPI number1669525960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Intelisano — President · (856) 228-0144
NPI enumeratedJanuary 19, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1504 Blackwood Clementon Rd, Blackwood, NJ 08012-4625

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