| Rowansom Dept Of Psychiatry | |
|
2250 Chapel Ave W Suite 100 Cherry Hill NJ 08002-2051 | |
| (856) 482-9000 | |
| (856) 482-1159 |
| Full Name | Rowansom Dept Of Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2250 Chapel Ave W, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Michael Rieker (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8567705729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowansom Dept Of Psychiatry 2250 Chapel Ave W Suite 100 Cherry Hill NJ 08002-2051 Ph: (856) 482-9000 | Rowansom Dept Of Psychiatry 2250 Chapel Ave W Suite 100 Cherry Hill NJ 08002-2051 Ph: (856) 482-9000 |
| NPI Number | 1689644122 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 03/21/2016 |
| Medicare PECOS PAC ID | 4486647708 |
|---|---|
| Medicare Enrollment ID | O20040405000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689644122 | NPI | - | NPPES |
| 1044766 | Other | NJ | CIGNA GRP |
| 3118207 | Medicaid | NJ | |
| 0099409000 | Other | NJ | AMERIHEALTH GRP |
| 8421390 | Other | NJ | AETNA GRP |
| CA8142 | Other | NJ | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Walter J Rhoades |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730152943 PECOS PAC ID: 2264429588 Enrollment ID: I20040428001313 |
| Provider Name | Helen Huafang Yi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124091061 PECOS PAC ID: 5294627881 Enrollment ID: I20041111000031 |
| Provider Name | Michael J Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104897586 PECOS PAC ID: 9234194747 Enrollment ID: I20041124000071 |
| Provider Name | James J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174596944 PECOS PAC ID: 1052338365 Enrollment ID: I20051026000770 |
| Provider Name | Narsimha R Pinninti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700858222 PECOS PAC ID: 0547274870 Enrollment ID: I20060126000016 |
| Provider Name | Martin M Forsberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790881944 PECOS PAC ID: 6800896283 Enrollment ID: I20070109000252 |
| Provider Name | Frank J Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073708236 PECOS PAC ID: 4385703636 Enrollment ID: I20081101000008 |
| Provider Name | Ilya Ivanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487848149 PECOS PAC ID: 3476691981 Enrollment ID: I20091103000470 |
| Provider Name | Stephen Marc Scheinthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790765196 PECOS PAC ID: 4789726233 Enrollment ID: I20100121000145 |
| Provider Name | Jeffrey S. Aronowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639326960 PECOS PAC ID: 7214063767 Enrollment ID: I20100412000074 |
| Provider Name | Nazli E Gulab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598736118 PECOS PAC ID: 4789715715 Enrollment ID: I20100708000254 |
| Provider Name | Hillary A Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780981506 PECOS PAC ID: 9032374111 Enrollment ID: I20120625000203 |
| Provider Name | Mark B Famador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184890436 PECOS PAC ID: 0143366781 Enrollment ID: I20130927000263 |
| Provider Name | Chien Y Cepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891192050 PECOS PAC ID: 4789900952 Enrollment ID: I20150305001269 |
| Provider Name | Rachel L Shmuts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821230079 PECOS PAC ID: 3678887049 Enrollment ID: I20150729007826 |
| Provider Name | Elina Maymind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538459623 PECOS PAC ID: 6204140676 Enrollment ID: I20150729007858 |
| Provider Name | Joanna Petrides |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821496936 PECOS PAC ID: 7911203567 Enrollment ID: I20160309000280 |
| Provider Name | Munaza A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619117926 PECOS PAC ID: 2769619436 Enrollment ID: I20160411000232 |
| Provider Name | Michael L Maiorano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487779161 PECOS PAC ID: 1355563313 Enrollment ID: I20161121002144 |
| Provider Name | Paul C Furtaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831443894 PECOS PAC ID: 7618203282 Enrollment ID: I20190722000048 |
| Provider Name | Kristin Nicole Bertsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811441058 PECOS PAC ID: 2466782206 Enrollment ID: I20190923000435 |
| Provider Name | Clifton O Richardson Iii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164061339 PECOS PAC ID: 9537599964 Enrollment ID: I20200424002433 |
| Provider Name | Jill S Shafi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194305425 PECOS PAC ID: 6507260726 Enrollment ID: I20210811000216 |
| Provider Name | Olufemi L Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942300 PECOS PAC ID: 5991193518 Enrollment ID: I20211030000102 |
| Provider Name | Stephanie Ann Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073276341 PECOS PAC ID: 0840684627 Enrollment ID: I20220221000600 |
| Provider Name | Salvatore Montana Messina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124510094 PECOS PAC ID: 0345624342 Enrollment ID: I20220824003173 |
| Provider Name | Timothy L Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467947556 PECOS PAC ID: 8123409869 Enrollment ID: I20221220002737 |
| Provider Name | Zubair Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265775514 PECOS PAC ID: 3274889324 Enrollment ID: I20230216002737 |
| Provider Name | Alexandra Ranieri-deniken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487980942 PECOS PAC ID: 8426422957 Enrollment ID: I20230323000272 |
| Provider Name | Jill Mcelligott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053524397 PECOS PAC ID: 0345615126 Enrollment ID: I20230410000213 |
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