| Samaritan Homevisit Physicians Pc | |
|
3906 Church Rd Mount Laurel NJ 08054-1108 | |
| (856) 552-3261 | |
| Not Available |
| Full Name | Samaritan Homevisit Physicians Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3906 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Rebecca Damato (DIRECTOR OF PRACTICE MANAGEMENT) |
| Authorized Official Contact | 8565961600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Homevisit Physicians Pc 3906 Church Rd Mount Laurel NJ 08054-1108 Ph: (856) 596-1600 | Samaritan Homevisit Physicians Pc 3906 Church Rd Mount Laurel NJ 08054-1108 Ph: (856) 552-3261 |
| NPI Number | 1366088858 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 8820423163 |
|---|---|
| Medicare Enrollment ID | O20200115001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366088858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela T Marinucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447276431 PECOS PAC ID: 8921079369 Enrollment ID: I20040802000323 |
| Provider Name | Regina M Mazzuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154404796 PECOS PAC ID: 1658397849 Enrollment ID: I20051018000015 |
| Provider Name | Stephen P Goldfine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578608162 PECOS PAC ID: 2365516655 Enrollment ID: I20080805000449 |
| Provider Name | Sharon R Rainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467530139 PECOS PAC ID: 8820120371 Enrollment ID: I20100719000502 |
| Provider Name | Cherry Pie Venzon Tiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346683802 PECOS PAC ID: 6901044072 Enrollment ID: I20130531000019 |
| Provider Name | Michelle J Crass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366821712 PECOS PAC ID: 6002129517 Enrollment ID: I20150713001882 |
| Provider Name | Lena F Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327006 PECOS PAC ID: 3577980168 Enrollment ID: I20200827001813 |
| Provider Name | Shainna Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093330201 PECOS PAC ID: 1557788155 Enrollment ID: I20200827001986 |
| Provider Name | Courtney A Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219410 PECOS PAC ID: 1254741226 Enrollment ID: I20201102002195 |
| Provider Name | Kavita Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851082416 PECOS PAC ID: 2769841022 Enrollment ID: I20230726002887 |
| Provider Name | Kristine Anne Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175261 PECOS PAC ID: 1254764707 Enrollment ID: I20231205003898 |
| Provider Name | Leona Yvetta Owusu Dapaah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265205124 PECOS PAC ID: 2163875675 Enrollment ID: I20240131004699 |
| Provider Name | Olumide T Remi-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346920477 PECOS PAC ID: 3173987310 Enrollment ID: I20240223004184 |
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