Southern Bank Emergency Physicians LLC
NPI 1629205844 · Emergency Medicine Physician · New Brunswick, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Bank Emergency Physicians LLC is a Emergency Medicine Physician organization in New Brunswick, NJ (NPI 1629205844).
Provider details
- NPI number
- 1629205844
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Kennedy, Authorized Official(207) 807-9009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Southern Bank Emergency Physicians LLC's NPI number?
- Southern Bank Emergency Physicians LLC's National Provider Identifier (NPI) is 1629205844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Bank Emergency Physicians LLC?
- Southern Bank Emergency Physicians LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Bank Emergency Physicians LLC located?
- Southern Bank Emergency Physicians LLC's practice location on file with NPPES is 254 Easton Ave, New Brunswick, NJ 08901-1766.
- What is Southern Bank Emergency Physicians LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Bank Emergency Physicians LLC is (954) 939-5000.
- Does Southern Bank Emergency Physicians LLC accept Medicare?
- Southern Bank Emergency Physicians LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Bank Emergency Physicians LLC?
- The authorized official listed on Southern Bank Emergency Physicians LLC's NPPES record is Christopher Kennedy, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Bank Emergency Physicians LLC's NPI active?
- Yes — Southern Bank Emergency Physicians LLC's NPI (1629205844) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.