Stephanie Ippolito, CNM | |
175 Madison Ave Fl 2, Mount Holly, NJ 08060-2099 | |
(609) 914-6782 | |
(856) 246-9565 |
Full Name | Stephanie Ippolito |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 175 Madison Ave Fl 2, Mount Holly, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477724458 | NPI | - | NPPES |
0185990 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 25ME00045801 (New Jersey) | Primary |
Entity Name | Virtua Medical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Entity Name | Capital Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437516887 PECOS PAC ID: 7618264532 Enrollment ID: O20160921000449 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Ippolito, CNM 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Stephanie Ippolito, CNM 175 Madison Ave Fl 2, Mount Holly, NJ 08060-2099 Ph: (609) 914-6782 |
Mrs. Ashley Liberta Armstrong, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 175 Madison Ave Fl 2, Mount Holly, NJ 08060 Phone: 609-914-6198 Fax: 856-246-9565 | |
Lynn A Shinn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 175 Madison Ave Fl 3, Mount Holly, NJ 08060 Phone: 609-914-6782 Fax: 856-246-9565 |