| Inspira Medical Group | |
|
1120 Delsea Dr N Glassboro NJ 08028-1444 | |
| (856) 507-2783 | |
| (856) 205-0145 |
| Full Name | Inspira Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 Delsea Dr N, Glassboro, New Jersey |
| Authorized Official Name and Position | James Thomas O'connell (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8565754777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspira Medical Group 1120 Delsea Dr N Glassboro NJ 08028-1444 Ph: (856) 507-2783 | Inspira Medical Group 1120 Delsea Dr N Glassboro NJ 08028-1444 Ph: (856) 507-2783 |
| NPI Number | 1922177856 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 4880797570 |
|---|---|
| Medicare Enrollment ID | O20070319000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922177856 | NPI | - | NPPES |
| 0131156 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (New Jersey) | Primary |
| Provider Name | Adam S Holzberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952495798 PECOS PAC ID: 2961301395 Enrollment ID: I20040106000037 |
| Provider Name | Farooq A Padder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700833449 PECOS PAC ID: 5395630412 Enrollment ID: I20040218000296 |
| Provider Name | David J Lynch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699776781 PECOS PAC ID: 2860488988 Enrollment ID: I20040423000498 |
| Provider Name | Timothy S Pilla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023019312 PECOS PAC ID: 8426044421 Enrollment ID: I20040423001124 |
| Provider Name | Charles Antinori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831187780 PECOS PAC ID: 0941194989 Enrollment ID: I20040426000474 |
| Provider Name | John A Vergari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609815976 PECOS PAC ID: 4789579822 Enrollment ID: I20040511001394 |
| Provider Name | Laura L Tyree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598737256 PECOS PAC ID: 5698752194 Enrollment ID: I20040702000018 |
| Provider Name | Jay V Malickel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902893134 PECOS PAC ID: 0648246405 Enrollment ID: I20040903000085 |
| Provider Name | Fred Rincon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326159443 PECOS PAC ID: 4880663954 Enrollment ID: I20040927000685 |
| Provider Name | John Fk Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841495959 PECOS PAC ID: 3476513532 Enrollment ID: I20041013000488 |
| Provider Name | Takeshi Tsuda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750473500 PECOS PAC ID: 9638130099 Enrollment ID: I20041020000418 |
| Provider Name | Gregory E Herman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760465603 PECOS PAC ID: 0042272338 Enrollment ID: I20041029000129 |
| Provider Name | Marisa Cinalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659323822 PECOS PAC ID: 9032171269 Enrollment ID: I20041101000130 |
| Provider Name | Linda K Aquilino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770685414 PECOS PAC ID: 8628030855 Enrollment ID: I20041101000169 |
| Provider Name | Mavola Tench |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013958875 PECOS PAC ID: 7315901709 Enrollment ID: I20041116000371 |
| Provider Name | Michael J Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104897586 PECOS PAC ID: 9234194747 Enrollment ID: I20041124000071 |
| Provider Name | Bradley W Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376503714 PECOS PAC ID: 1153386909 Enrollment ID: I20041129000504 |
| Provider Name | Karen S Krieg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700859113 PECOS PAC ID: 4284699430 Enrollment ID: I20041130000041 |
| Provider Name | Tara L Wyche Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720008931 PECOS PAC ID: 9537127212 Enrollment ID: I20041228000626 |
| Provider Name | Ho-kan Cheng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881692374 PECOS PAC ID: 6608770896 Enrollment ID: I20050104000638 |
| Provider Name | Bac Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295700326 PECOS PAC ID: 1355392986 Enrollment ID: I20050201000654 |
| Provider Name | Simon K Topalian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225084353 PECOS PAC ID: 5597719393 Enrollment ID: I20050304000043 |
| Provider Name | Dominic A Marchiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578594438 PECOS PAC ID: 6709852692 Enrollment ID: I20050315000936 |
| Provider Name | Samantha Deluca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871525188 PECOS PAC ID: 0941255624 Enrollment ID: I20050315000952 |
| Provider Name | Maynard R Holgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679526396 PECOS PAC ID: 4486649167 Enrollment ID: I20050317000663 |
| Provider Name | Michael Conti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356436331 PECOS PAC ID: 6901884865 Enrollment ID: I20050607000930 |
| Provider Name | Brian H Chernoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013953660 PECOS PAC ID: 6800822180 Enrollment ID: I20050711000146 |
| Provider Name | Joseph Fanelle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578563334 PECOS PAC ID: 5395798540 Enrollment ID: I20050720000016 |
| Provider Name | Glenda R Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477554418 PECOS PAC ID: 5890722797 Enrollment ID: I20050722000193 |
| Provider Name | Richard C Strauss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750315867 PECOS PAC ID: 2567499205 Enrollment ID: I20050725000416 |
| Provider Name | Steven Bernard Ritz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205928058 PECOS PAC ID: 6608861273 Enrollment ID: I20050901000679 |
| Provider Name | Enakshi Bajpai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720034218 PECOS PAC ID: 2365432234 Enrollment ID: I20050909000032 |
| Provider Name | Elias Iliadis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326133034 PECOS PAC ID: 6800829896 Enrollment ID: I20050912000014 |
| Provider Name | Ashfaque Unwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861447260 PECOS PAC ID: 1658305693 Enrollment ID: I20050920000724 |
| Provider Name | Janel L Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225173461 PECOS PAC ID: 8527093210 Enrollment ID: I20051004000754 |
| Provider Name | James J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174596944 PECOS PAC ID: 1052338365 Enrollment ID: I20051026000770 |
| Provider Name | Jason S Lotkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508837204 PECOS PAC ID: 5698706810 Enrollment ID: I20060104000029 |
| Provider Name | Donald C Huston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316973563 PECOS PAC ID: 4981655735 Enrollment ID: I20060117000709 |
| Provider Name | Azieb Lofton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144229303 PECOS PAC ID: 0143238824 Enrollment ID: I20060323000106 |
| Provider Name | Paul R Kouyoumdji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124027172 PECOS PAC ID: 3072521541 Enrollment ID: I20060324000043 |
| Provider Name | Satish Mittal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518912385 PECOS PAC ID: 2365456191 Enrollment ID: I20060328000020 |
| Provider Name | Gus J Slotman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134185846 PECOS PAC ID: 2365450533 Enrollment ID: I20060329000581 |
| Provider Name | David S Shields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205828365 PECOS PAC ID: 7911917851 Enrollment ID: I20060421000481 |
| Provider Name | Rudolph T Depersia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134161813 PECOS PAC ID: 1951311729 Enrollment ID: I20060425000522 |
| Provider Name | Robert B Ocasio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124054200 PECOS PAC ID: 7214947084 Enrollment ID: I20060425000608 |
| Provider Name | Shawna I Reigel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619900586 PECOS PAC ID: 5890708317 Enrollment ID: I20060728000006 |
| Provider Name | Thomas F Moccia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891739686 PECOS PAC ID: 1658374905 Enrollment ID: I20060807000316 |
| Provider Name | Susan Lotkowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992738470 PECOS PAC ID: 6103824677 Enrollment ID: I20061116000245 |
| Provider Name | Barry M Berman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003997545 PECOS PAC ID: 0244232718 Enrollment ID: I20070213000271 |
| Provider Name | Gregory G Stiefel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649267881 PECOS PAC ID: 6608979307 Enrollment ID: I20070319000292 |
| Provider Name | Jenine N Vecchio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891844569 PECOS PAC ID: 2668573593 Enrollment ID: I20070723000504 |
| Provider Name | Mitchell C Bober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902805013 PECOS PAC ID: 3870595622 Enrollment ID: I20070801000688 |
| Provider Name | Michael J Geria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497706089 PECOS PAC ID: 3779528401 Enrollment ID: I20070924000086 |
| Provider Name | Miladys Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194863159 PECOS PAC ID: 9436245677 Enrollment ID: I20071018000496 |
| Provider Name | Gordon E Callender |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215059399 PECOS PAC ID: 1951497031 Enrollment ID: I20071020000083 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295938496 PECOS PAC ID: 6709973902 Enrollment ID: I20071106000034 |
| Provider Name | Barbara J Roehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962578807 PECOS PAC ID: 5890873509 Enrollment ID: I20080422000319 |
| Provider Name | Robert Hal Debbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295769396 PECOS PAC ID: 1254303514 Enrollment ID: I20080624000600 |
| Provider Name | Erica M Milas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518092428 PECOS PAC ID: 6901906395 Enrollment ID: I20080729000090 |
| Provider Name | Shaila Bokkala-pinninti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487816344 PECOS PAC ID: 9638243777 Enrollment ID: I20080807000166 |
| Provider Name | Erev E Tubb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154429892 PECOS PAC ID: 2264506781 Enrollment ID: I20081001000184 |
| Provider Name | Riyadh S Hammod |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568556512 PECOS PAC ID: 9931134632 Enrollment ID: I20081202000571 |
| Provider Name | Michael S Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104814821 PECOS PAC ID: 6800827551 Enrollment ID: I20090115000024 |
| Provider Name | Eileen Y Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518981067 PECOS PAC ID: 0648221002 Enrollment ID: I20090312000275 |
| Provider Name | Marcia A Skowron Scharle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285889220 PECOS PAC ID: 3678624426 Enrollment ID: I20090708000032 |
| Provider Name | Harish Kakkilaya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902064140 PECOS PAC ID: 3072688027 Enrollment ID: I20090803000688 |
| Provider Name | Brian J Corbett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649437690 PECOS PAC ID: 5799838843 Enrollment ID: I20091013000311 |
| Provider Name | Alyson Emmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891733010 PECOS PAC ID: 0840377628 Enrollment ID: I20091020000632 |
| Provider Name | Joseph N Bottalico |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538130653 PECOS PAC ID: 4789726332 Enrollment ID: I20100121000042 |
| Provider Name | Stephen Marc Scheinthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790765196 PECOS PAC ID: 4789726233 Enrollment ID: I20100121000145 |
| Provider Name | Jennifer Naticchia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588635296 PECOS PAC ID: 9830155126 Enrollment ID: I20100203000553 |
| Provider Name | John A Pirolli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639124456 PECOS PAC ID: 8224172929 Enrollment ID: I20100218000691 |
| Provider Name | Michele Lanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871680603 PECOS PAC ID: 0244365450 Enrollment ID: I20100312000679 |
| Provider Name | Michael P Flatley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588603518 PECOS PAC ID: 4284769787 Enrollment ID: I20100323000693 |
| Provider Name | Antonio Q Velasco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053519702 PECOS PAC ID: 5698806297 Enrollment ID: I20100625000585 |
| Provider Name | Gregory Breen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538119961 PECOS PAC ID: 1153445036 Enrollment ID: I20100830000310 |
| Provider Name | Scott Rosenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063461614 PECOS PAC ID: 1557486511 Enrollment ID: I20100914000718 |
| Provider Name | Maurice S Sheetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902832157 PECOS PAC ID: 1456302207 Enrollment ID: I20100914000868 |
| Provider Name | Benjamin D Dijoseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841375565 PECOS PAC ID: 3072606615 Enrollment ID: I20101015000609 |
| Provider Name | John Patricelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265498307 PECOS PAC ID: 0941493266 Enrollment ID: I20101019001303 |
| Provider Name | Kurt W Kaulback |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902852957 PECOS PAC ID: 3779594213 Enrollment ID: I20101022001272 |
| Provider Name | Mitchell I Conn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922067917 PECOS PAC ID: 1153345814 Enrollment ID: I20101025000646 |
| Provider Name | Martin Scott Dawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609815836 PECOS PAC ID: 4688685126 Enrollment ID: I20101026000917 |
| Provider Name | Jorge A Prieto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942269931 PECOS PAC ID: 9335163096 Enrollment ID: I20101028001421 |
| Provider Name | Jeffrey A Abrams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174582076 PECOS PAC ID: 7416971171 Enrollment ID: I20101029000749 |
| Provider Name | Michael C Dimarino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619936515 PECOS PAC ID: 1456348713 Enrollment ID: I20101029000786 |
| Provider Name | Robert M Coben |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891754891 PECOS PAC ID: 3870517535 Enrollment ID: I20101029001099 |
| Provider Name | Joseph Szgalsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689653644 PECOS PAC ID: 8426243106 Enrollment ID: I20101108000519 |
| Provider Name | Arthur H Schultes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235163817 PECOS PAC ID: 2860444874 Enrollment ID: I20101129000286 |
| Provider Name | Karen Marie Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609808914 PECOS PAC ID: 0840486106 Enrollment ID: I20101129000500 |
| Provider Name | Douglas M Hargrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497700355 PECOS PAC ID: 4284820317 Enrollment ID: I20101201000272 |
| Provider Name | Susan J Gominger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215013198 PECOS PAC ID: 6901891225 Enrollment ID: I20110106000416 |
| Provider Name | Aarati B Malliah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962613125 PECOS PAC ID: 7214126721 Enrollment ID: I20110114000506 |
| Provider Name | Eric Martin Bonifield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497771950 PECOS PAC ID: 1658360748 Enrollment ID: I20110119000770 |
| Provider Name | Steven Justin Meskin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851335285 PECOS PAC ID: 2860671286 Enrollment ID: I20110131000918 |
| Provider Name | Janah Aji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629164918 PECOS PAC ID: 3577745983 Enrollment ID: I20110307000454 |
| Provider Name | Maria Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781298 PECOS PAC ID: 1951587849 Enrollment ID: I20110510000501 |
| Provider Name | David N Lowther |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902880818 PECOS PAC ID: 5698743672 Enrollment ID: I20110609000038 |
| Provider Name | Nicholas T Orfanidis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669638573 PECOS PAC ID: 9133307283 Enrollment ID: I20110621000160 |
| Provider Name | Amit Sohagia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447456306 PECOS PAC ID: 5395832216 Enrollment ID: I20110824000083 |
| Provider Name | Nauveed Iqbal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104851492 PECOS PAC ID: 7810165586 Enrollment ID: I20110831000088 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669600326 PECOS PAC ID: 7214083211 Enrollment ID: I20110922000441 |
| Provider Name | Leon Kushnir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003075755 PECOS PAC ID: 8921152554 Enrollment ID: I20111025000633 |
| Provider Name | Marjorie A Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184908451 PECOS PAC ID: 4587821434 Enrollment ID: I20120203000231 |
| Provider Name | Richard A Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467646604 PECOS PAC ID: 5597923490 Enrollment ID: I20120223000473 |
| Provider Name | Thomas Mcandrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033314901 PECOS PAC ID: 8123128337 Enrollment ID: I20120320000864 |
| Provider Name | Evelyn K Balogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043348048 PECOS PAC ID: 7416111307 Enrollment ID: I20120605000346 |
| Provider Name | Jodi Fox-mellul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053616631 PECOS PAC ID: 5597949370 Enrollment ID: I20120913000254 |
| Provider Name | Lindsay Dauphinee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093009094 PECOS PAC ID: 0345490181 Enrollment ID: I20121101000223 |
| Provider Name | Nadir Ahmad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396969549 PECOS PAC ID: 3274629126 Enrollment ID: I20130307000091 |
| Provider Name | Nicole A Scivoletti-polan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699098095 PECOS PAC ID: 3375781701 Enrollment ID: I20130524000345 |
| Provider Name | Lisa Cole Nutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734329 PECOS PAC ID: 6305087875 Enrollment ID: I20130725000428 |
| Provider Name | Waverly A Lutz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831432194 PECOS PAC ID: 1658512769 Enrollment ID: I20130731000744 |
| Provider Name | Cathy L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871939389 PECOS PAC ID: 5294979456 Enrollment ID: I20130910000638 |
| Provider Name | Durr-e-shahwaar Sayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821228263 PECOS PAC ID: 3375796543 Enrollment ID: I20131016001602 |
| Provider Name | Nicole C Zucconi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651398 PECOS PAC ID: 2769617281 Enrollment ID: I20131108000500 |
| Provider Name | Jean B Gue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831434257 PECOS PAC ID: 2264668250 Enrollment ID: I20131127000008 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20131207000065 |
| Provider Name | Anael D Delice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851734669 PECOS PAC ID: 9931339454 Enrollment ID: I20140303000750 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083758635 PECOS PAC ID: 2365598976 Enrollment ID: I20140312001259 |
| Provider Name | Peter J Senatore |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194719039 PECOS PAC ID: 6800788241 Enrollment ID: I20140411001222 |
| Provider Name | Stephen M Pirrone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063613107 PECOS PAC ID: 3971643354 Enrollment ID: I20140515002049 |
| Provider Name | Amy Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922426717 PECOS PAC ID: 2860611696 Enrollment ID: I20140910000513 |
| Provider Name | Bernadette Lloyd Sobolow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568500890 PECOS PAC ID: 9234359795 Enrollment ID: I20141003001521 |
| Provider Name | Melissa L Suarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942511837 PECOS PAC ID: 4082834338 Enrollment ID: I20141008001499 |
| Provider Name | Brian H Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003214842 PECOS PAC ID: 1850619230 Enrollment ID: I20150415000829 |
| Provider Name | Sharon Weinberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134360746 PECOS PAC ID: 4486707130 Enrollment ID: I20150506001334 |
| Provider Name | Raechel A Fockler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780934042 PECOS PAC ID: 0143534115 Enrollment ID: I20150804005416 |
| Provider Name | Nandini N Kulkarni |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1598929218 PECOS PAC ID: 1557512050 Enrollment ID: I20150827002080 |
| Provider Name | Daniel Timmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730340225 PECOS PAC ID: 5991864381 Enrollment ID: I20151015000632 |
| Provider Name | Colin Lloyd Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427374941 PECOS PAC ID: 9436382876 Enrollment ID: I20151208000713 |
| Provider Name | David J Vettori |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609183474 PECOS PAC ID: 4981835329 Enrollment ID: I20151210002373 |
| Provider Name | Kristen E Trom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164858700 PECOS PAC ID: 4486957107 Enrollment ID: I20160129000463 |
| Provider Name | Neely Elisha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508293978 PECOS PAC ID: 5597069542 Enrollment ID: I20160211000973 |
| Provider Name | Nicholas Roy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619288073 PECOS PAC ID: 9638474653 Enrollment ID: I20160229001158 |
| Provider Name | Paula L Hasenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632452 PECOS PAC ID: 3375842867 Enrollment ID: I20160505000179 |
| Provider Name | Jennifer Lenzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194172684 PECOS PAC ID: 2860782901 Enrollment ID: I20160602001008 |
| Provider Name | David G Aderholdt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487081030 PECOS PAC ID: 1850681453 Enrollment ID: I20160610000828 |
| Provider Name | Caryn Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174970305 PECOS PAC ID: 6204128408 Enrollment ID: I20160708000725 |
| Provider Name | Holly Graves |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427256080 PECOS PAC ID: 1355635913 Enrollment ID: I20160805000171 |
| Provider Name | Michael Weston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376819383 PECOS PAC ID: 6204121932 Enrollment ID: I20160819001614 |
| Provider Name | Joseph N Tropea |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013028729 PECOS PAC ID: 1658415922 Enrollment ID: I20160909000384 |
| Provider Name | Charles Andrew Kistler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568728871 PECOS PAC ID: 8426280413 Enrollment ID: I20170201001033 |
| Provider Name | Gwen Mckenney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619906500 PECOS PAC ID: 1951524925 Enrollment ID: I20170228001651 |
| Provider Name | Janeen Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497296925 PECOS PAC ID: 4183901051 Enrollment ID: I20170502000153 |
| Provider Name | Ashley Fought |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558772962 PECOS PAC ID: 2860760162 Enrollment ID: I20170609000140 |
| Provider Name | Elaine Cheng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588821425 PECOS PAC ID: 0042475691 Enrollment ID: I20170706000906 |
| Provider Name | Craig Bober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639583990 PECOS PAC ID: 0648541292 Enrollment ID: I20170801001361 |
| Provider Name | Michael Joseph Luceri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538362371 PECOS PAC ID: 5991820250 Enrollment ID: I20170822000954 |
| Provider Name | Elizabeth Noelle Clayton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932537529 PECOS PAC ID: 2567734437 Enrollment ID: I20170828002388 |
| Provider Name | Zobia Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548676885 PECOS PAC ID: 4688933229 Enrollment ID: I20180105000981 |
| Provider Name | Theodore J Plush |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710271895 PECOS PAC ID: 6901025402 Enrollment ID: I20180613001616 |
| Provider Name | Tom Tomer Noff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346582277 PECOS PAC ID: 7517256043 Enrollment ID: I20180726001886 |
| Provider Name | Amanda E Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750776126 PECOS PAC ID: 9133434798 Enrollment ID: I20180822002893 |
| Provider Name | Edward Pirolli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894012 PECOS PAC ID: 3870842842 Enrollment ID: I20180824000031 |
| Provider Name | Alexandra Wagner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679069140 PECOS PAC ID: 7113277880 Enrollment ID: I20180830002698 |
| Provider Name | Anish V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952669970 PECOS PAC ID: 2264783224 Enrollment ID: I20181002000186 |
| Provider Name | Heather Lynn Carpenito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467937045 PECOS PAC ID: 6800149253 Enrollment ID: I20181101000014 |
| Provider Name | Andrew Richard Dargan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700223013 PECOS PAC ID: 9032334057 Enrollment ID: I20190322000480 |
| Provider Name | Tudor G Jovin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891768404 PECOS PAC ID: 7719955277 Enrollment ID: I20190510001186 |
| Provider Name | Sarah L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548618739 PECOS PAC ID: 2062750920 Enrollment ID: I20190610000476 |
| Provider Name | Wanshu Di |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649664889 PECOS PAC ID: 6305133554 Enrollment ID: I20190612000186 |
| Provider Name | Maryann D Arrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972737294 PECOS PAC ID: 2264655232 Enrollment ID: I20190719000176 |
| Provider Name | Woojin Chong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295023521 PECOS PAC ID: 9931458445 Enrollment ID: I20190724000152 |
| Provider Name | Amy L Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861702151 PECOS PAC ID: 9537344262 Enrollment ID: I20190802000950 |
| Provider Name | Kimberly Mcguinness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699032755 PECOS PAC ID: 5092950402 Enrollment ID: I20190808000078 |
| Provider Name | James E Siegler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104265529 PECOS PAC ID: 8527332394 Enrollment ID: I20190827001033 |
| Provider Name | Michael J Gallagher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063849040 PECOS PAC ID: 6002154382 Enrollment ID: I20190830000844 |
| Provider Name | Jennifer L. Copare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053679977 PECOS PAC ID: 8224343306 Enrollment ID: I20190917001796 |
| Provider Name | Jesse M Thon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356789747 PECOS PAC ID: 0042582918 Enrollment ID: I20190917004014 |
| Provider Name | Ankur S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932354156 PECOS PAC ID: 5496922510 Enrollment ID: I20191009000333 |
| Provider Name | Patricia Ragone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770620189 PECOS PAC ID: 1355436544 Enrollment ID: I20191118001678 |
| Provider Name | Meghan Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477855633 PECOS PAC ID: 2567647191 Enrollment ID: I20191120000044 |
| Provider Name | Rebecca Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104353028 PECOS PAC ID: 8325472889 Enrollment ID: I20191217000759 |
| Provider Name | Richard Chudacoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740275064 PECOS PAC ID: 4688631385 Enrollment ID: I20200113000420 |
| Provider Name | Hsu Tsai Chi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356760748 PECOS PAC ID: 1153756218 Enrollment ID: I20200117000722 |
| Provider Name | Caitlin French |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306487442 PECOS PAC ID: 6002241023 Enrollment ID: I20200122001744 |
| Provider Name | Peter Rudzinskiy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508081548 PECOS PAC ID: 9335240654 Enrollment ID: I20200127001189 |
| Provider Name | Charles Shieh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861651739 PECOS PAC ID: 9739314394 Enrollment ID: I20200219001938 |
| Provider Name | Keith Kreitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336101591 PECOS PAC ID: 9931157971 Enrollment ID: I20200309000035 |
| Provider Name | Michael Ernesto Calderone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376907071 PECOS PAC ID: 8820327406 Enrollment ID: I20200619000010 |
| Provider Name | Caitlin Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679100028 PECOS PAC ID: 4486076536 Enrollment ID: I20200619000255 |
| Provider Name | Richard Lorber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669565149 PECOS PAC ID: 4486652815 Enrollment ID: I20200624002688 |
| Provider Name | Sean Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316468895 PECOS PAC ID: 6901228501 Enrollment ID: I20200629002008 |
| Provider Name | Ashley Odukoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225554033 PECOS PAC ID: 5294159430 Enrollment ID: I20200721004398 |
| Provider Name | Kyle Shaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710410899 PECOS PAC ID: 0446674683 Enrollment ID: I20200722000024 |
| Provider Name | Nancy Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255782488 PECOS PAC ID: 7214351956 Enrollment ID: I20200728001271 |
| Provider Name | Dena Marie Little |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780079376 PECOS PAC ID: 1850602376 Enrollment ID: I20200731000797 |
| Provider Name | Olga A Tusheva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124466859 PECOS PAC ID: 2264704451 Enrollment ID: I20200803001280 |
| Provider Name | Pratit Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881037620 PECOS PAC ID: 6305143405 Enrollment ID: I20200812002448 |
| Provider Name | Eric Nagele |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326420266 PECOS PAC ID: 0840522827 Enrollment ID: I20200818002553 |
| Provider Name | Swarna Rajagopalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699055731 PECOS PAC ID: 0840564050 Enrollment ID: I20200825000614 |
| Provider Name | Rebecca Hamm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730524208 PECOS PAC ID: 0143526475 Enrollment ID: I20200915000170 |
| Provider Name | Caitlin K Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891182754 PECOS PAC ID: 2062727217 Enrollment ID: I20201013002260 |
| Provider Name | Abbas Zaidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013265776 PECOS PAC ID: 1052645264 Enrollment ID: I20201110000219 |
| Provider Name | Hayley Solomon Quant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891958419 PECOS PAC ID: 7113142944 Enrollment ID: I20201120000795 |
| Provider Name | Paula K Edelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194087270 PECOS PAC ID: 2163720053 Enrollment ID: I20201123002055 |
| Provider Name | Pranav V Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093177594 PECOS PAC ID: 2466750997 Enrollment ID: I20201209000043 |
| Provider Name | Andrew Mower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548331309 PECOS PAC ID: 1658476338 Enrollment ID: I20201216000285 |
| Provider Name | Victor Ukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588018345 PECOS PAC ID: 8921410911 Enrollment ID: I20201216000720 |
| Provider Name | Catherine Singiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265037717 PECOS PAC ID: 7911310511 Enrollment ID: I20201228001324 |
| Provider Name | Ashley Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667407 PECOS PAC ID: 5092120683 Enrollment ID: I20210211002407 |
| Provider Name | Hollie Hoa Nguyen Glenwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700474665 PECOS PAC ID: 0143636381 Enrollment ID: I20210312000415 |
| Provider Name | Ashish Chawla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750346730 PECOS PAC ID: 5395799340 Enrollment ID: I20210324002176 |
| Provider Name | Christie L Mannino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740611177 PECOS PAC ID: 7315295300 Enrollment ID: I20210325000859 |
| Provider Name | Ingram Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538170501 PECOS PAC ID: 2466413653 Enrollment ID: I20210510000413 |
| Provider Name | David P Visco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104961564 PECOS PAC ID: 5991800518 Enrollment ID: I20210604002123 |
| Provider Name | Paul R Osterdahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285161091 PECOS PAC ID: 5395146088 Enrollment ID: I20210701002786 |
| Provider Name | Christopher Bashian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346627585 PECOS PAC ID: 4486073764 Enrollment ID: I20210702002167 |
| Provider Name | Lily Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487865523 PECOS PAC ID: 5395902126 Enrollment ID: I20210706001867 |
| Provider Name | Tammy T Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780188417 PECOS PAC ID: 0941549422 Enrollment ID: I20210712001427 |
| Provider Name | Sara Attalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669751657 PECOS PAC ID: 7012285034 Enrollment ID: I20210802000527 |
| Provider Name | Carmen G Eberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215505714 PECOS PAC ID: 4587068010 Enrollment ID: I20210805002587 |
| Provider Name | David Gasalberti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639565948 PECOS PAC ID: 4183049877 Enrollment ID: I20210902001476 |
| Provider Name | Jennifer L Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992388938 PECOS PAC ID: 2567869753 Enrollment ID: I20211001000128 |
| Provider Name | Michael Yoon-ki Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972168946 PECOS PAC ID: 3779981683 Enrollment ID: I20211007000868 |
| Provider Name | Heather Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699443481 PECOS PAC ID: 9830597467 Enrollment ID: I20211012000719 |
| Provider Name | Natasha Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073933651 PECOS PAC ID: 3779893870 Enrollment ID: I20211201002878 |
| Provider Name | Raleke D Adibe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477081156 PECOS PAC ID: 4688064249 Enrollment ID: I20211214001619 |
| Provider Name | Richard Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992462758 PECOS PAC ID: 6002202520 Enrollment ID: I20220411001456 |
| Provider Name | Nicole M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558012989 PECOS PAC ID: 7113313495 Enrollment ID: I20220414000021 |
| Provider Name | Yadira Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053055087 PECOS PAC ID: 5991184772 Enrollment ID: I20220624001655 |
| Provider Name | Beth Pineles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578957767 PECOS PAC ID: 0749588259 Enrollment ID: I20220722002234 |
| Provider Name | Tapati Stalam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740643006 PECOS PAC ID: 3476840646 Enrollment ID: I20220805001417 |
| Provider Name | Robin Scott Camp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851958219 PECOS PAC ID: 8022494020 Enrollment ID: I20220928002430 |
| Provider Name | Timothy L Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467947556 PECOS PAC ID: 8123409869 Enrollment ID: I20221220002737 |
| Provider Name | Victoria Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352045 PECOS PAC ID: 5991175366 Enrollment ID: I20221228002972 |
| Provider Name | Natalie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639801467 PECOS PAC ID: 7012387988 Enrollment ID: I20230110003216 |
| Provider Name | Cheresha Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266697 PECOS PAC ID: 7315248093 Enrollment ID: I20230125000061 |
| Provider Name | Natalie Noelle Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912616574 PECOS PAC ID: 5294107876 Enrollment ID: I20230208000201 |
| Provider Name | Zubair Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265775514 PECOS PAC ID: 3274889324 Enrollment ID: I20230216002737 |
| Provider Name | Ryan D Federico-piccioni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754922 PECOS PAC ID: 4587036793 Enrollment ID: I20230217000065 |
| Provider Name | Curtis Allumbaugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215295118 PECOS PAC ID: 4183847411 Enrollment ID: I20230405002717 |
| Provider Name | Kesha Wilford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962677823 PECOS PAC ID: 8921139049 Enrollment ID: I20230419001577 |
| Provider Name | Emmanuel Amofah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639708498 PECOS PAC ID: 6608231766 Enrollment ID: I20230425003024 |
| Provider Name | Gerald S Orlando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760010847 PECOS PAC ID: 6305204033 Enrollment ID: I20230628000271 |
| Provider Name | Patrick Ho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578094223 PECOS PAC ID: 6507135670 Enrollment ID: I20230801002253 |
| Provider Name | Matthew Kelly Janssen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215399472 PECOS PAC ID: 9032570296 Enrollment ID: I20230803003238 |
| Provider Name | Andre Cole |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477902054 PECOS PAC ID: 5092111740 Enrollment ID: I20230817000583 |
| Provider Name | Samantha K Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912697806 PECOS PAC ID: 4981066099 Enrollment ID: I20230821002983 |
| Provider Name | Julia Youssef |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285195404 PECOS PAC ID: 8921462060 Enrollment ID: I20230907004586 |
| Provider Name | Chase Kriza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861923955 PECOS PAC ID: 7719256171 Enrollment ID: I20230914002451 |
| Provider Name | Nathan D Fairbourn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952967291 PECOS PAC ID: 1254795602 Enrollment ID: I20230918004242 |
| Provider Name | Kimberly S Selwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255969234 PECOS PAC ID: 6800240391 Enrollment ID: I20231003001178 |
| Provider Name | Emily A Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013440577 PECOS PAC ID: 2466807300 Enrollment ID: I20231012000344 |
| Provider Name | Amanda Mirmanesh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871158030 PECOS PAC ID: 6002261948 Enrollment ID: I20231012000367 |
| Provider Name | Charles Mccann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619402369 PECOS PAC ID: 9739451014 Enrollment ID: I20231013000293 |
| Provider Name | Kathryn Elizabeth Landers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013442839 PECOS PAC ID: 7810265840 Enrollment ID: I20231026001917 |
| Provider Name | Catherine L Mavroudis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457706269 PECOS PAC ID: 0547617946 Enrollment ID: I20231107000902 |
| Provider Name | Clarissa Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326602152 PECOS PAC ID: 3274982947 Enrollment ID: I20231207001626 |
| Provider Name | Balbir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740960491 PECOS PAC ID: 7012367923 Enrollment ID: I20231219000637 |
| Provider Name | Regina M Mangano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760197230 PECOS PAC ID: 1658721253 Enrollment ID: I20231222000244 |
| Provider Name | Lee M Appelbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063876266 PECOS PAC ID: 9335563758 Enrollment ID: I20240102001827 |
| Provider Name | Mary Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377975 PECOS PAC ID: 6507218773 Enrollment ID: I20240123004861 |
| Provider Name | Melissa Gott |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1609302769 PECOS PAC ID: 5890182984 Enrollment ID: I20240212003014 |
| Provider Name | Jillian E Gansert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568992626 PECOS PAC ID: 8426442450 Enrollment ID: I20240403002435 |
| Provider Name | Marlon S Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740850585 PECOS PAC ID: 1557702370 Enrollment ID: I20240510002375 |
Rowan Wellness Center - Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mullica Hill Rd, Winans Hall, Glassboro, NJ 08028 Phone: 856-256-4333 Fax: 856-256-4427 | |
Inspira Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-205-7071 | |
Underwood-memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-582-0500 Fax: 856-582-0163 | |
Completecare Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028 Phone: 856-451-4700 Fax: 856-575-0818 | |
Jon S Heist Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 361 N Main St, Glassboro, NJ 08028 Phone: 856-881-8618 Fax: 856-881-5368 | |
American Workcare, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1125 North Delsea Dr, Glassboro, NJ 08028 Phone: 856-218-7600 Fax: 856-218-7800 | |
Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Main St, Glassboro, NJ 08028 Phone: 844-542-2273 |