Provider Demographics
NPI:1669446852
Name:VOORHEES NJ ENDOSCOPY ASC LLC
Entity type:Organization
Organization Name:VOORHEES NJ ENDOSCOPY ASC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-1283
Mailing Address - Street 1:93 COOPER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4910
Mailing Address - Country:US
Mailing Address - Phone:856-770-1920
Mailing Address - Fax:856-770-1925
Practice Address - Street 1:93 COOPER RD STE 100
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4910
Practice Address - Country:US
Practice Address - Phone:856-770-1920
Practice Address - Fax:856-770-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24436261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8536404Medicaid
NJ8536404Medicaid
NJ490004984Medicare PIN
NJ31C0001132Medicare Oscar/Certification