| Southern Jersey Family Medical Centers, Inc | |
|
860 S White Horse Pike Hammonton NJ 08037-2018 | |
| (609) 567-0200 | |
| (609) 567-3492 |
| Full Name | Southern Jersey Family Medical Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 860 S White Horse Pike, Hammonton, New Jersey |
| Authorized Official Name and Position | Linda Flake (PRESIDENT/CEO) |
| Authorized Official Contact | 6095670434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Jersey Family Medical Centers, Inc 1 Executive Drive 701a Suite 400 Marlton NJ 08053-4144 Ph: (609) 567-0434 | Southern Jersey Family Medical Centers, Inc 860 S White Horse Pike Hammonton NJ 08037-2018 Ph: (609) 567-0200 |
| NPI Number | 1568473973 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 09/02/2022 |
| Medicare PECOS PAC ID | 0547170763 |
|---|---|
| Medicare Enrollment ID | O20040917000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568473973 | NPI | - | NPPES |
| 0033502 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Rajesh P Farmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104845338 PECOS PAC ID: 2860396264 Enrollment ID: I20031126000030 |
| Provider Name | Stephen Richar Noone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245250612 PECOS PAC ID: 1658367917 Enrollment ID: I20040422000276 |
| Provider Name | Chike W Obianwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902984909 PECOS PAC ID: 8527048305 Enrollment ID: I20040728000379 |
| Provider Name | Gregory C Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229065 PECOS PAC ID: 8628045945 Enrollment ID: I20040915000410 |
| Provider Name | John W Ridenour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790707057 PECOS PAC ID: 6002875390 Enrollment ID: I20041004000255 |
| Provider Name | Nicholas J Giorgianni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114953676 PECOS PAC ID: 4789637463 Enrollment ID: I20050222000685 |
| Provider Name | Ann Riley Spoltore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992779409 PECOS PAC ID: 3375598337 Enrollment ID: I20050314000365 |
| Provider Name | Christine S Kotulski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780603902 PECOS PAC ID: 4385680586 Enrollment ID: I20050628000922 |
| Provider Name | Yvette A Bridges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801805197 PECOS PAC ID: 0547287088 Enrollment ID: I20051209000145 |
| Provider Name | Cindy L Nunan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174570626 PECOS PAC ID: 2567476559 Enrollment ID: I20060130000172 |
| Provider Name | Peggy A Solomon Bergen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689623621 PECOS PAC ID: 8022101401 Enrollment ID: I20070830000146 |
| Provider Name | Susan Armitage |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407820608 PECOS PAC ID: 8325134232 Enrollment ID: I20071023000319 |
| Provider Name | Blair A Bergen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881775658 PECOS PAC ID: 7719074939 Enrollment ID: I20071103000040 |
| Provider Name | Shirley George Cook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912924580 PECOS PAC ID: 7911094933 Enrollment ID: I20071108000587 |
| Provider Name | Rose M Scaffidi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568527042 PECOS PAC ID: 1557459518 Enrollment ID: I20071109000022 |
| Provider Name | Judith S Ruffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255523098 PECOS PAC ID: 4385734755 Enrollment ID: I20071221000384 |
| Provider Name | Claire Smart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497786891 PECOS PAC ID: 8729162359 Enrollment ID: I20080221000088 |
| Provider Name | Gbolagade O Babalola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952301681 PECOS PAC ID: 2062443633 Enrollment ID: I20080421000278 |
| Provider Name | Marc B Kamenitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942221270 PECOS PAC ID: 2062463680 Enrollment ID: I20080821000640 |
| Provider Name | Sandra M Gould Mulligan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174545420 PECOS PAC ID: 2365517505 Enrollment ID: I20080821000663 |
| Provider Name | Angela M Pizzo-kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437284957 PECOS PAC ID: 4486713286 Enrollment ID: I20081108000006 |
| Provider Name | Leila M Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861596405 PECOS PAC ID: 0547310997 Enrollment ID: I20090608000016 |
| Provider Name | Stephanie K Sapio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296514 PECOS PAC ID: 5294874046 Enrollment ID: I20091208000254 |
| Provider Name | Andrea S Palermo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972687085 PECOS PAC ID: 7810031010 Enrollment ID: I20100225000175 |
| Provider Name | Bruce M Klein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275640302 PECOS PAC ID: 9032240981 Enrollment ID: I20100622000187 |
| Provider Name | Juan Bejaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184730632 PECOS PAC ID: 4183756331 Enrollment ID: I20100723000145 |
| Provider Name | Myron L Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528089612 PECOS PAC ID: 1456484856 Enrollment ID: I20100805000815 |
| Provider Name | Katherine S Yon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700999091 PECOS PAC ID: 2264439058 Enrollment ID: I20101014001273 |
| Provider Name | Rebecca A Miller Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649447723 PECOS PAC ID: 9830371251 Enrollment ID: I20110307000580 |
| Provider Name | Rebecca J Mclane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780657916 PECOS PAC ID: 2961672605 Enrollment ID: I20110907000981 |
| Provider Name | Candice C Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972897775 PECOS PAC ID: 9638340235 Enrollment ID: I20110912000055 |
| Provider Name | Jasmine Perez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639446495 PECOS PAC ID: 5092978361 Enrollment ID: I20120524000024 |
| Provider Name | Nicole Siems |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639404973 PECOS PAC ID: 5991952830 Enrollment ID: I20120828000220 |
| Provider Name | Wayne A Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017908 PECOS PAC ID: 5496903627 Enrollment ID: I20120913000352 |
| Provider Name | Mignon M D Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841586062 PECOS PAC ID: 3779731559 Enrollment ID: I20120920000128 |
| Provider Name | Renee E Hypolite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053647222 PECOS PAC ID: 0648421628 Enrollment ID: I20121126000171 |
| Provider Name | Yanirys Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831431493 PECOS PAC ID: 4284878109 Enrollment ID: I20130916000525 |
| Provider Name | Yousef Amer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023109451 PECOS PAC ID: 9436386513 Enrollment ID: I20131217000622 |
| Provider Name | Kurt A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457691958 PECOS PAC ID: 9234367020 Enrollment ID: I20140125000174 |
| Provider Name | Marissa Magid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801238415 PECOS PAC ID: 1355571381 Enrollment ID: I20140313000073 |
| Provider Name | Maanasi Silk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598929895 PECOS PAC ID: 7618108622 Enrollment ID: I20140314001088 |
| Provider Name | Sameerah S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366781569 PECOS PAC ID: 3779716675 Enrollment ID: I20140430000647 |
| Provider Name | Jamie L Sosa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588918460 PECOS PAC ID: 8123251626 Enrollment ID: I20140508000522 |
| Provider Name | Tarika White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841602232 PECOS PAC ID: 8224253893 Enrollment ID: I20140716000086 |
| Provider Name | Crystal N Gonzalez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326297144 PECOS PAC ID: 1759428006 Enrollment ID: I20140804000150 |
| Provider Name | Clare Lipperini Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235420605 PECOS PAC ID: 3870710049 Enrollment ID: I20140812000985 |
| Provider Name | Pradeep Adumala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770983272 PECOS PAC ID: 3577782432 Enrollment ID: I20140909000534 |
| Provider Name | Joanna Mcgrath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356758924 PECOS PAC ID: 2769603380 Enrollment ID: I20141024000688 |
| Provider Name | Danielle Pieri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982866554 PECOS PAC ID: 8123171261 Enrollment ID: I20141121000556 |
| Provider Name | Mia F Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376944983 PECOS PAC ID: 3870815491 Enrollment ID: I20141209001502 |
| Provider Name | Jenika L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255503892 PECOS PAC ID: 7113249855 Enrollment ID: I20150130000100 |
| Provider Name | Korinne S Roane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972908838 PECOS PAC ID: 1951629070 Enrollment ID: I20150421000832 |
| Provider Name | Shuang Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447548052 PECOS PAC ID: 7113245119 Enrollment ID: I20150422001479 |
| Provider Name | Kathleen D Lindemuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982093811 PECOS PAC ID: 1153640412 Enrollment ID: I20150507002229 |
| Provider Name | Julie A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245611011 PECOS PAC ID: 9739490657 Enrollment ID: I20150618002823 |
| Provider Name | Lynn R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497903587 PECOS PAC ID: 2769792662 Enrollment ID: I20151105000331 |
| Provider Name | Ivette Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296524 PECOS PAC ID: 6901106624 Enrollment ID: I20151202002955 |
| Provider Name | Katherine L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457736720 PECOS PAC ID: 5991007239 Enrollment ID: I20160105000112 |
| Provider Name | Gwyn Y Ashmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700244191 PECOS PAC ID: 8729377353 Enrollment ID: I20160520000043 |
| Provider Name | Lynn A Shinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568834315 PECOS PAC ID: 9234422890 Enrollment ID: I20160720001499 |
| Provider Name | Kathryn Mcgill Armento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750457008 PECOS PAC ID: 6406959022 Enrollment ID: I20170313001447 |
| Provider Name | Stephanie Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497152219 PECOS PAC ID: 9133406630 Enrollment ID: I20170511000158 |
| Provider Name | Courtney Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669929782 PECOS PAC ID: 6103193222 Enrollment ID: I20170522000378 |
| Provider Name | Jennifer Gobencion |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760849426 PECOS PAC ID: 0244508927 Enrollment ID: I20170621002493 |
| Provider Name | Lilian Mekhail |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578979720 PECOS PAC ID: 5092084988 Enrollment ID: I20170710000571 |
| Provider Name | Ada L Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603384 PECOS PAC ID: 3274803150 Enrollment ID: I20170726000593 |
| Provider Name | Les Ward |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346773173 PECOS PAC ID: 0446521603 Enrollment ID: I20170807000324 |
| Provider Name | Kelsey M Denning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619401833 PECOS PAC ID: 1850666983 Enrollment ID: I20170929000301 |
| Provider Name | Allison Brooke Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841693157 PECOS PAC ID: 6305112160 Enrollment ID: I20171023000948 |
| Provider Name | Kathleen Ann Aiello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841262631 PECOS PAC ID: 6800152877 Enrollment ID: I20171107001961 |
| Provider Name | Gillian Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366843138 PECOS PAC ID: 9638463078 Enrollment ID: I20171221000018 |
| Provider Name | Michele Bustard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591902 PECOS PAC ID: 2163783705 Enrollment ID: I20180223000106 |
| Provider Name | Carrie Eng Mazur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435268 PECOS PAC ID: 7517228661 Enrollment ID: I20180306001048 |
| Provider Name | Tahara Prescott-palmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811420193 PECOS PAC ID: 3072883867 Enrollment ID: I20180315000058 |
| Provider Name | Rachel Anne Cresse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457869786 PECOS PAC ID: 1850653171 Enrollment ID: I20180327001486 |
| Provider Name | Mayelin D Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649762675 PECOS PAC ID: 6800143629 Enrollment ID: I20180724003045 |
| Provider Name | Abisoye V Fakayode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225415227 PECOS PAC ID: 9436400892 Enrollment ID: I20180924002346 |
| Provider Name | Kate L Hulbert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518452457 PECOS PAC ID: 5890047609 Enrollment ID: I20181005001258 |
| Provider Name | Brittney Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598208548 PECOS PAC ID: 6507149903 Enrollment ID: I20181205000231 |
| Provider Name | Emily J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285133454 PECOS PAC ID: 0042550287 Enrollment ID: I20190325002842 |
| Provider Name | Nekia Ebony Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326505298 PECOS PAC ID: 4183967813 Enrollment ID: I20190522000113 |
| Provider Name | Shekila Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750849386 PECOS PAC ID: 7113250341 Enrollment ID: I20190603002799 |
| Provider Name | Diane L D'agostino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265095913 PECOS PAC ID: 6406189117 Enrollment ID: I20190612002102 |
| Provider Name | Amber Leigh Gregori |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437715620 PECOS PAC ID: 1557696366 Enrollment ID: I20190717000446 |
| Provider Name | Yvonne O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598314957 PECOS PAC ID: 1052743341 Enrollment ID: I20191106002749 |
| Provider Name | Hawa Mawong Al-hassan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629453816 PECOS PAC ID: 9537476510 Enrollment ID: I20200212000687 |
| Provider Name | Phillip Carlyle Cobrand |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952940686 PECOS PAC ID: 1951738152 Enrollment ID: I20200228000606 |
| Provider Name | Renai Kraytem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497260293 PECOS PAC ID: 3173951555 Enrollment ID: I20200318000817 |
| Provider Name | Diane Mcquillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609262179 PECOS PAC ID: 1456690742 Enrollment ID: I20200515000100 |
| Provider Name | Laura A Tolver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659856292 PECOS PAC ID: 7214350115 Enrollment ID: I20200710001923 |
| Provider Name | Briana Rainey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578196044 PECOS PAC ID: 1557784386 Enrollment ID: I20200713000290 |
| Provider Name | Joseph Chiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240796 PECOS PAC ID: 6608108188 Enrollment ID: I20200714000124 |
| Provider Name | Lisa Ann Hermansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488337 PECOS PAC ID: 2769801943 Enrollment ID: I20201008000290 |
| Provider Name | Monique R Higginbotham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225006208 PECOS PAC ID: 0547282691 Enrollment ID: I20201204000429 |
| Provider Name | Vanessa Hamilton Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003492190 PECOS PAC ID: 6709294770 Enrollment ID: I20210413001405 |
| Provider Name | Dominique Cintron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283570 PECOS PAC ID: 7810398138 Enrollment ID: I20210624000916 |
| Provider Name | Alexandria M Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841610 PECOS PAC ID: 7416351861 Enrollment ID: I20210806000191 |
| Provider Name | Faviola Seche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467024430 PECOS PAC ID: 6709280001 Enrollment ID: I20210809003349 |
| Provider Name | Ana Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144545906 PECOS PAC ID: 0749684074 Enrollment ID: I20210810000481 |
| Provider Name | Bernadett Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053936682 PECOS PAC ID: 5991101636 Enrollment ID: I20210907000528 |
| Provider Name | Joanne Sylvia Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831459080 PECOS PAC ID: 6507264538 Enrollment ID: I20211006000757 |
| Provider Name | Krista Tkacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669147443 PECOS PAC ID: 5890193122 Enrollment ID: I20211018000712 |
| Provider Name | Audrey Charlotte Kingman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104593425 PECOS PAC ID: 5991194516 Enrollment ID: I20211119000115 |
| Provider Name | Tracey Angel Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780136127 PECOS PAC ID: 5698165157 Enrollment ID: I20211124001347 |
| Provider Name | Hannah Strauss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477203552 PECOS PAC ID: 6709272180 Enrollment ID: I20220412001645 |
| Provider Name | Soumya Vijayalekshmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023505997 PECOS PAC ID: 5890032106 Enrollment ID: I20220421001609 |
| Provider Name | Elizabeth Heinlein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982345237 PECOS PAC ID: 4981081874 Enrollment ID: I20220516000361 |
| Provider Name | Dainty Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861139156 PECOS PAC ID: 8325429699 Enrollment ID: I20220718002101 |
| Provider Name | Ohna Fagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588319164 PECOS PAC ID: 1456735927 Enrollment ID: I20220901000301 |
| Provider Name | Melissa Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477046670 PECOS PAC ID: 3173908779 Enrollment ID: I20220919000910 |
| Provider Name | Shirley Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508360074 PECOS PAC ID: 5698150076 Enrollment ID: I20220921002351 |
| Provider Name | Lisa Urban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023008000 PECOS PAC ID: 0143539650 Enrollment ID: I20221215002273 |
| Provider Name | Laura Lynn Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459367 PECOS PAC ID: 8022442979 Enrollment ID: I20221229000934 |
| Provider Name | Neydin Marquis Rivera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871213413 PECOS PAC ID: 8325410046 Enrollment ID: I20230207000418 |
| Provider Name | Shawna Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306552724 PECOS PAC ID: 3971977745 Enrollment ID: I20230316003013 |
| Provider Name | Ugochi J Goldson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740713023 PECOS PAC ID: 8022395201 Enrollment ID: I20230327000679 |
| Provider Name | Megan Jessica Cohl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568160836 PECOS PAC ID: 2062887458 Enrollment ID: I20230418000363 |
| Provider Name | Angelo Adson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649603473 PECOS PAC ID: 6406087949 Enrollment ID: I20230418001956 |
| Provider Name | Brittni Alexandra Bryant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245943828 PECOS PAC ID: 7618332701 Enrollment ID: I20230425000154 |
| Provider Name | Marwa Mahmoud Mohamed Eltawil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205333937 PECOS PAC ID: 0547626715 Enrollment ID: I20230512001045 |
| Provider Name | Samantha Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811688120 PECOS PAC ID: 5698124568 Enrollment ID: I20231218002727 |
| Provider Name | Tracy Lynn Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982387999 PECOS PAC ID: 7810329844 Enrollment ID: I20240104003888 |
Diabetes & Endocrinology Associates Of South Jersey Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 N White Horse Pike Ste 101, Hammonton, NJ 08037 Phone: 609-704-9100 Fax: 609-567-3817 | |
Stephen A. Nurkiewicz, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 858 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-561-2345 Fax: 609-561-8969 | |
Visiting Physician Associates Of South Jersey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 North White Horse Pike, Hammonton, NJ 08037 Phone: 609-567-9003 Fax: 609-567-9269 | |
J Jennifer Lee Od Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Egg Harbor Rd, Hammonton, NJ 08037 Phone: 609-561-6333 | |
Unity Place Of Atlantic County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-704-1313 | |
Advocare Cedar Brook Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 S Route 73 Ste B, Hammonton, NJ 08037 Phone: 609-567-2101 Fax: 609-704-9351 | |
Cedar Brook Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 S Route 73, Suite B, Hammonton, NJ 08037 Phone: 609-567-2101 Fax: 609-704-9351 |