| Cooper Family Medicine, Pc | |
|
1050 Kings Hwy N Suite 105 Cherry Hill NJ 08034-1909 | |
| (856) 321-0303 | |
| (856) 321-0090 |
| Full Name | Cooper Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Kings Hwy N, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Anthony J. Mazzarelli (CHIEF MEDICAL OFFICE) |
| Authorized Official Contact | 8569687858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Family Medicine, Pc 1 Federal Street Sw-200 Camden NJ 08103-1155 Ph: (856) 356-4924 | Cooper Family Medicine, Pc 1050 Kings Hwy N Suite 105 Cherry Hill NJ 08034-1909 Ph: (856) 321-0303 |
| NPI Number | 1649217175 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 4284530197 |
|---|---|
| Medicare Enrollment ID | O20080417000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649217175 | NPI | - | NPPES |
| 6558101 | Medicaid | NJ | |
| 812711 | Other | AETNA | |
| 957013 | Other | AETNA | |
| 0341834001 | Other | AMERIHEALTH | |
| 10825 | Other | AETNA | |
| 0538689001 | Other | AMERIHEALTH | |
| 0790979001 | Other | AMERIHEALTH | |
| 10678 | Other | AETNA | |
| 0807068001 | Other | AMERIHEALTH | |
| 0125591001 | Other | AMERIHEALTH | |
| 0807062001 | Other | AMERIHEALTH | |
| 10665 | Other | AETNA | |
| 2218882006 | Other | AMERIHEALTH | |
| 497006 | Other | AETNA | |
| 511584 | Other | AETNA | |
| 0807066001 | Other | AMERIHEALTH | |
| 10453 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (New Jersey) | Primary |
| Provider Name | James Q Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881671444 PECOS PAC ID: 2668373309 Enrollment ID: I20040116000100 |
| Provider Name | Mary Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336138007 PECOS PAC ID: 1850387135 Enrollment ID: I20040422000419 |
| Provider Name | Darryl B Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689676421 PECOS PAC ID: 1759371750 Enrollment ID: I20040513000083 |
| Provider Name | Marianne T Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598731424 PECOS PAC ID: 8224011689 Enrollment ID: I20040608001072 |
| Provider Name | Ashoke K Deb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088760 PECOS PAC ID: 7719967173 Enrollment ID: I20040726000075 |
| Provider Name | Glenn C Newell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841390150 PECOS PAC ID: 8820060809 Enrollment ID: I20040810000962 |
| Provider Name | Mark J Todt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477595064 PECOS PAC ID: 9931159142 Enrollment ID: I20050126000114 |
| Provider Name | Rosemarie A Leuzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574220 PECOS PAC ID: 2860442951 Enrollment ID: I20050405000043 |
| Provider Name | Anjali A Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225137797 PECOS PAC ID: 8921046855 Enrollment ID: I20050421000448 |
| Provider Name | Nancy H Beggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407945272 PECOS PAC ID: 3971548561 Enrollment ID: I20050623000828 |
| Provider Name | David D Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538130398 PECOS PAC ID: 9830143932 Enrollment ID: I20050712000548 |
| Provider Name | John A Kirby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164502126 PECOS PAC ID: 7810923760 Enrollment ID: I20050712000588 |
| Provider Name | Katherine Ann Penberthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255420667 PECOS PAC ID: 4587692553 Enrollment ID: I20050808000427 |
| Provider Name | Catherine Ann Barone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568676989 PECOS PAC ID: 6608808282 Enrollment ID: I20051012000245 |
| Provider Name | Fateen Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811080641 PECOS PAC ID: 7416848676 Enrollment ID: I20051115000007 |
| Provider Name | Edmund J Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851308779 PECOS PAC ID: 0749209922 Enrollment ID: I20051116000896 |
| Provider Name | Daniel J Hyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346335023 PECOS PAC ID: 2769405273 Enrollment ID: I20060111000356 |
| Provider Name | Aliya W Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366473654 PECOS PAC ID: 5395769673 Enrollment ID: I20060125000822 |
| Provider Name | Mary J Monari-sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356324263 PECOS PAC ID: 3173530961 Enrollment ID: I20060320000704 |
| Provider Name | Juan S Utreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518906270 PECOS PAC ID: 4082622287 Enrollment ID: I20060330000045 |
| Provider Name | Ami Sharad Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710900865 PECOS PAC ID: 6800836685 Enrollment ID: I20061116000036 |
| Provider Name | Rocco F Caveng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780603381 PECOS PAC ID: 9234231200 Enrollment ID: I20070313000172 |
| Provider Name | Nirandra Mahamitra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669663217 PECOS PAC ID: 1850485236 Enrollment ID: I20070920000781 |
| Provider Name | Kennedy U Ganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322165 PECOS PAC ID: 0547356149 Enrollment ID: I20071012000043 |
| Provider Name | Behjath Jafry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043402456 PECOS PAC ID: 6608962501 Enrollment ID: I20071023000212 |
| Provider Name | Dyanne Westerberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911987 PECOS PAC ID: 4183712318 Enrollment ID: I20071121000250 |
| Provider Name | Edward D Viner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609957026 PECOS PAC ID: 0143126573 Enrollment ID: I20080408000022 |
| Provider Name | Paula Marie Schlechter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568642130 PECOS PAC ID: 6507943727 Enrollment ID: I20080411000199 |
| Provider Name | Mary Elizabeth Gaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427235928 PECOS PAC ID: 3072691583 Enrollment ID: I20080424000358 |
| Provider Name | Stephen E Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075759 PECOS PAC ID: 4789679408 Enrollment ID: I20080805000276 |
| Provider Name | Maria E Lauer-pfrommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831358639 PECOS PAC ID: 1951476696 Enrollment ID: I20080815000003 |
| Provider Name | Danielle S Nordone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765354 PECOS PAC ID: 6204859481 Enrollment ID: I20080819000118 |
| Provider Name | Margaret E Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427248434 PECOS PAC ID: 4587730692 Enrollment ID: I20080912000540 |
| Provider Name | Bennett Shenker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427082429 PECOS PAC ID: 6709892169 Enrollment ID: I20080919000374 |
| Provider Name | Catherine M Gerety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144425554 PECOS PAC ID: 0648338632 Enrollment ID: I20081020000493 |
| Provider Name | Marie Edwige Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265472484 PECOS PAC ID: 8426021742 Enrollment ID: I20081103000610 |
| Provider Name | Ronald Schiavone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225075096 PECOS PAC ID: 9638230477 Enrollment ID: I20081211000362 |
| Provider Name | Satyajeet Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437116829 PECOS PAC ID: 8527129246 Enrollment ID: I20081212000254 |
| Provider Name | Gary Xavier Heck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984180 PECOS PAC ID: 4688737620 Enrollment ID: I20090116000344 |
| Provider Name | Jessica E Horvath-matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740357953 PECOS PAC ID: 6709986862 Enrollment ID: I20090602000238 |
| Provider Name | Nami Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366633612 PECOS PAC ID: 1759458847 Enrollment ID: I20090721000698 |
| Provider Name | Stephanie M Tonetta-stanker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588735963 PECOS PAC ID: 3678627619 Enrollment ID: I20090811000130 |
| Provider Name | Monica Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447405972 PECOS PAC ID: 0244385086 Enrollment ID: I20090901000062 |
| Provider Name | John F Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447401492 PECOS PAC ID: 4789739954 Enrollment ID: I20090911000504 |
| Provider Name | Michael J Voyack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003896028 PECOS PAC ID: 0749336634 Enrollment ID: I20090917000388 |
| Provider Name | Sherry Singh Mohapatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528020062 PECOS PAC ID: 6406743608 Enrollment ID: I20091221000014 |
| Provider Name | Rosemarie Stag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588611 PECOS PAC ID: 9234265752 Enrollment ID: I20100409000025 |
| Provider Name | Ashley J Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306009709 PECOS PAC ID: 1557499225 Enrollment ID: I20100518000046 |
| Provider Name | Kimberly I Rozengarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801087671 PECOS PAC ID: 3971635418 Enrollment ID: I20100719000310 |
| Provider Name | Olga M Schweiker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437396280 PECOS PAC ID: 4486770724 Enrollment ID: I20100924000016 |
| Provider Name | Kedron Nicole Horvath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346450723 PECOS PAC ID: 3870780844 Enrollment ID: I20101203000505 |
| Provider Name | Vincent A Renzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760428494 PECOS PAC ID: 7810904877 Enrollment ID: I20110110000027 |
| Provider Name | Peter Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869467 PECOS PAC ID: 5092995688 Enrollment ID: I20110215000332 |
| Provider Name | Edmar M Lacay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821248907 PECOS PAC ID: 2961675442 Enrollment ID: I20111027000874 |
| Provider Name | Esther Malave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992747885 PECOS PAC ID: 3375514748 Enrollment ID: I20111107000712 |
| Provider Name | Adolfo E Prettelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205989241 PECOS PAC ID: 0749464527 Enrollment ID: I20120626000083 |
| Provider Name | Jenny Melli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568690642 PECOS PAC ID: 2264688019 Enrollment ID: I20120809000450 |
| Provider Name | Sophia S Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417186842 PECOS PAC ID: 4284873126 Enrollment ID: I20130625000466 |
| Provider Name | Nicole E Hancq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400205 PECOS PAC ID: 3072652064 Enrollment ID: I20130717000125 |
| Provider Name | Wai B Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710291307 PECOS PAC ID: 7618108234 Enrollment ID: I20140325001261 |
| Provider Name | Fern Elyse Kopp Mulberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699077909 PECOS PAC ID: 8628206075 Enrollment ID: I20140904000975 |
| Provider Name | Lorraine O Salieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881986263 PECOS PAC ID: 0244452613 Enrollment ID: I20141119002337 |
| Provider Name | Myanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235495276 PECOS PAC ID: 5193972461 Enrollment ID: I20141216001719 |
| Provider Name | Camille Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093865115 PECOS PAC ID: 8426172644 Enrollment ID: I20150204001131 |
| Provider Name | Michael Edwards Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245632058 PECOS PAC ID: 5395058028 Enrollment ID: I20150723008052 |
| Provider Name | Allen Clowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386624427 PECOS PAC ID: 0941309256 Enrollment ID: I20160111000154 |
| Provider Name | Kristin Hextall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790147304 PECOS PAC ID: 1850690348 Enrollment ID: I20160505000051 |
| Provider Name | Lakiesha M Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598127664 PECOS PAC ID: 4789973553 Enrollment ID: I20160518000212 |
| Provider Name | Alexandra Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134483076 PECOS PAC ID: 0446571616 Enrollment ID: I20160823000151 |
| Provider Name | Akshar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548678246 PECOS PAC ID: 2567758121 Enrollment ID: I20160907002309 |
| Provider Name | Camille Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811293921 PECOS PAC ID: 6406142777 Enrollment ID: I20160913001332 |
| Provider Name | Alyson M Stahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124365333 PECOS PAC ID: 7517111784 Enrollment ID: I20160916002092 |
| Provider Name | Sharon Shaw Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982088662 PECOS PAC ID: 8325335383 Enrollment ID: I20160920001023 |
| Provider Name | Sarah A Abdelsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093065138 PECOS PAC ID: 9032346622 Enrollment ID: I20160929000105 |
| Provider Name | Jennifer Abraczinskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770921033 PECOS PAC ID: 0840581211 Enrollment ID: I20161027002374 |
| Provider Name | Rachel Degtyarev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205371770 PECOS PAC ID: 2163707001 Enrollment ID: I20170316000839 |
| Provider Name | Alycia Anne Trossen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249891 PECOS PAC ID: 4385957794 Enrollment ID: I20170606002900 |
| Provider Name | John Mcgeehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366426181 PECOS PAC ID: 5698661759 Enrollment ID: I20170608000486 |
| Provider Name | Iris Hagans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669888129 PECOS PAC ID: 1153693957 Enrollment ID: I20170814001932 |
| Provider Name | Navjot Singh Narula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578947230 PECOS PAC ID: 4789932914 Enrollment ID: I20180806000141 |
| Provider Name | Emily Melissa Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407239064 PECOS PAC ID: 7315296613 Enrollment ID: I20180820003467 |
| Provider Name | Rachel J Masel-miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659764025 PECOS PAC ID: 8022393560 Enrollment ID: I20180822002086 |
| Provider Name | Stephanie M Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437520319 PECOS PAC ID: 5698029825 Enrollment ID: I20181107000414 |
| Provider Name | Navjot Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609284397 PECOS PAC ID: 4385930676 Enrollment ID: I20190226002758 |
| Provider Name | Michelle L Henritzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376002444 PECOS PAC ID: 0547503534 Enrollment ID: I20190514002445 |
| Provider Name | Syrita L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316315120 PECOS PAC ID: 8123313400 Enrollment ID: I20190719002764 |
| Provider Name | Kimberly Mcguinness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699032755 PECOS PAC ID: 5092950402 Enrollment ID: I20190808000078 |
| Provider Name | Niharika Sanjeev Sathe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255780599 PECOS PAC ID: 6002143849 Enrollment ID: I20190816000149 |
| Provider Name | Isha Marina Di Bartolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205298940 PECOS PAC ID: 1355670738 Enrollment ID: I20190910002767 |
| Provider Name | Tara Dibruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457369191 PECOS PAC ID: 8426064452 Enrollment ID: I20191030000077 |
| Provider Name | Jasmeet Kaur Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881048676 PECOS PAC ID: 5890027502 Enrollment ID: I20191030001760 |
| Provider Name | Christina Louise Marcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174178909 PECOS PAC ID: 2264864594 Enrollment ID: I20191107000955 |
| Provider Name | Dawn P Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134296288 PECOS PAC ID: 5294958724 Enrollment ID: I20191219002144 |
| Provider Name | Elizbeth Leilani Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023261112 PECOS PAC ID: 8022132554 Enrollment ID: I20200113000775 |
| Provider Name | Davina Ann Soernssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861941841 PECOS PAC ID: 1658709191 Enrollment ID: I20200317001660 |
| Provider Name | Nicole Sara Speechley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710510201 PECOS PAC ID: 3375972953 Enrollment ID: I20200402000635 |
| Provider Name | Marlena Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457871063 PECOS PAC ID: 2264856087 Enrollment ID: I20200727000057 |
| Provider Name | Thomas John Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952822595 PECOS PAC ID: 7517381346 Enrollment ID: I20200727000426 |
| Provider Name | Nancy Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255782488 PECOS PAC ID: 7214351956 Enrollment ID: I20200728001271 |
| Provider Name | Christina Ferrari |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1942658349 PECOS PAC ID: 4183911530 Enrollment ID: I20200910000493 |
| Provider Name | Ashley Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174917140 PECOS PAC ID: 2567880792 Enrollment ID: I20200921000081 |
| Provider Name | Athena Brotman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285012443 PECOS PAC ID: 5092010678 Enrollment ID: I20201002000344 |
| Provider Name | Emily Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659746196 PECOS PAC ID: 0941600787 Enrollment ID: I20210615003028 |
| Provider Name | Frank Aliganga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306281084 PECOS PAC ID: 9638481880 Enrollment ID: I20210616000005 |
| Provider Name | Saaniya Contractor Ajmeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528554342 PECOS PAC ID: 1153724836 Enrollment ID: I20210720000719 |
| Provider Name | Jessica Richmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639664584 PECOS PAC ID: 5395148381 Enrollment ID: I20210728002984 |
| Provider Name | Robert Sean Wetzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740774983 PECOS PAC ID: 4587067442 Enrollment ID: I20210729001834 |
| Provider Name | Meghana Parsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770073827 PECOS PAC ID: 7810391430 Enrollment ID: I20210804001779 |
| Provider Name | Kyle Gleaves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144714049 PECOS PAC ID: 2365771045 Enrollment ID: I20210830002231 |
| Provider Name | Maya A Bass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988279 PECOS PAC ID: 8224261060 Enrollment ID: I20210902000077 |
| Provider Name | Charles Cutler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033165196 PECOS PAC ID: 0143120808 Enrollment ID: I20211018000031 |
| Provider Name | Stephanie Idiaquez Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522269 PECOS PAC ID: 5092100156 Enrollment ID: I20220328001767 |
| Provider Name | Natasha R Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972033843 PECOS PAC ID: 2365861838 Enrollment ID: I20220421002403 |
| Provider Name | Brandyn Chinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851854152 PECOS PAC ID: 2264814821 Enrollment ID: I20220729001816 |
| Provider Name | Daniel Olea-mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083177414 PECOS PAC ID: 6901288398 Enrollment ID: I20220802000694 |
| Provider Name | Christi Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013578194 PECOS PAC ID: 4880077742 Enrollment ID: I20220810003008 |
| Provider Name | Douglas Reifler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114004876 PECOS PAC ID: 3577647577 Enrollment ID: I20220815000415 |
| Provider Name | Sarah Cokenakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212266 PECOS PAC ID: 5991051070 Enrollment ID: I20221010001406 |
| Provider Name | Jennifer Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417619271 PECOS PAC ID: 0244607620 Enrollment ID: I20221028000746 |
| Provider Name | David Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609339043 PECOS PAC ID: 6608243605 Enrollment ID: I20221103003182 |
| Provider Name | Rosalind Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730295171 PECOS PAC ID: 7113111519 Enrollment ID: I20221109000066 |
| Provider Name | Bethany R Canver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255820841 PECOS PAC ID: 0648525113 Enrollment ID: I20221123001239 |
| Provider Name | Lori Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417375478 PECOS PAC ID: 9234353350 Enrollment ID: I20230217001933 |
| Provider Name | Fotini Debonera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023547163 PECOS PAC ID: 6103220454 Enrollment ID: I20230310000180 |
| Provider Name | Pooja Selvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790313500 PECOS PAC ID: 0840650479 Enrollment ID: I20230714000854 |
| Provider Name | Huy David Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780211771 PECOS PAC ID: 5496100125 Enrollment ID: I20231016001310 |
| Provider Name | Srividya Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659900256 PECOS PAC ID: 4486000965 Enrollment ID: I20231020000646 |
| Provider Name | Jessa Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366079659 PECOS PAC ID: 3971946112 Enrollment ID: I20240205003660 |
| Provider Name | Brianna Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780264697 PECOS PAC ID: 3173924743 Enrollment ID: I20240722000669 |
| Provider Name | Amanda Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982477469 PECOS PAC ID: 4880044262 Enrollment ID: I20241014004791 |
Infectious Diseases Consultants Of New Jersey Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Gate Dr, Cherry Hill, NJ 08034 Phone: 856-795-7505 Fax: 856-795-8010 | |
Claudia M. Petruncio Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Chapel Ave W, Suite 106, Cherry Hill, NJ 08002 Phone: 856-488-6785 Fax: 856-488-6495 | |
Dr Ashokkumar B Patel Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Berlin Road, Ste 1, Cherry Hill, NJ 08034 Phone: 856-429-5838 Fax: 856-429-3470 | |
Extracare Nj Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 Phone: 215-309-8910 | |
Brookmead Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 432 Columbia Blvd, Cherry Hill, NJ 08002 Phone: 856-427-4001 Fax: 856-427-4003 | |