Regenerative Medicine Of South Jersey Llc | |
1501 Route 47, Rio Grande, NJ 08242-1401 | |
(605) 224-1576 | |
Not Available |
Full Name | Regenerative Medicine Of South Jersey Llc |
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Type | Facility |
Speciality | Family Medicine |
Location | 1501 Route 47, Rio Grande, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992342109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert Olivieri |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043224090 PECOS PAC ID: 9234032301 Enrollment ID: I20040128000422 |
Provider Name | Peter V Olson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447268800 PECOS PAC ID: 6709866841 Enrollment ID: I20040721000339 |
Provider Name | Adam Gillman |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093768814 PECOS PAC ID: 6406810423 Enrollment ID: I20041118000441 |
Provider Name | Denay L Marino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215006341 PECOS PAC ID: 6507817848 Enrollment ID: I20050203000880 |
Provider Name | Rachel Ann Pessoa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962889915 PECOS PAC ID: 6103147038 Enrollment ID: I20150604000567 |
Provider Name | Brian Portanova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336595800 PECOS PAC ID: 0446530307 Enrollment ID: I20161212000070 |
Provider Name | Kelly Kilroy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578915989 PECOS PAC ID: 4284911280 Enrollment ID: I20170428001824 |
Provider Name | Jennifer L Farestad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992154132 PECOS PAC ID: 3274878343 Enrollment ID: I20181218000705 |
Provider Name | Michael Nammour |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457904039 PECOS PAC ID: 5294067542 Enrollment ID: I20200316000772 |
Provider Name | Prita Mihirbhai Patel |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083216113 PECOS PAC ID: 8325451701 Enrollment ID: I20201231001360 |
Provider Name | Elizabeth M Ladia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679159370 PECOS PAC ID: 3577965318 Enrollment ID: I20210716000946 |
Provider Name | Robert Kovarik |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528636628 PECOS PAC ID: 2163828500 Enrollment ID: I20210909001986 |
Provider Name | Victoria Ann D'amico |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689047516 PECOS PAC ID: 0648677617 Enrollment ID: I20210920000807 |
Provider Name | Michael Lowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114698594 PECOS PAC ID: 5799173944 Enrollment ID: I20211021000871 |
Provider Name | Alexander Scott Paluzzi |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700545431 PECOS PAC ID: 6800288440 Enrollment ID: I20220112000138 |
Provider Name | Kimberly Sorensen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447904347 PECOS PAC ID: 5597159384 Enrollment ID: I20220221000972 |
Provider Name | Nicholas Blood |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730826934 PECOS PAC ID: 0547648404 Enrollment ID: I20220606000017 |
Provider Name | Teresa Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295281715 PECOS PAC ID: 5799073151 Enrollment ID: I20230331002674 |
Provider Name | Andrea Diane Phillips |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316026909 PECOS PAC ID: 1052406915 Enrollment ID: I20231205003698 |
Provider Name | Christina Hughes |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982397683 PECOS PAC ID: 3072962588 Enrollment ID: I20231208003410 |
Provider Name | Floriza Mangulabnan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346956356 PECOS PAC ID: 8426407891 Enrollment ID: I20231211001235 |
Provider Name | Emily Reichenbach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942986336 PECOS PAC ID: 2163872920 Enrollment ID: I20231220002586 |
Provider Name | Arianna Aaron |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629734678 PECOS PAC ID: 5991158602 Enrollment ID: I20240130001144 |
Provider Name | Shep Phillips |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831278431 PECOS PAC ID: 5294820155 Enrollment ID: I20240320000842 |
Mailing Address | Practice Location Address |
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Regenerative Medicine Of South Jersey Llc 1501 Route 47, Rio Grande, NJ 08242-1401 Ph: () - | Regenerative Medicine Of South Jersey Llc 1501 Route 47, Rio Grande, NJ 08242-1401 Ph: (605) 224-1576 |