| The Osborn Family Health Center, Inc. | |
|
1601 Haddon Ave Camden NJ 08103-3109 | |
| (856) 757-3700 | |
| (856) 365-7972 |
| Full Name | The Osborn Family Health Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 Haddon Ave, Camden, New Jersey |
| Authorized Official Name and Position | Shawne Cuilla (EXECUTIVE PRESIDENT) |
| Authorized Official Contact | 8567573706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Osborn Family Health Center, Inc. 1601 Haddon Ave Camden NJ 08103-3109 Ph: (856) 757-3700 | The Osborn Family Health Center, Inc. 1601 Haddon Ave Camden NJ 08103-3109 Ph: (856) 757-3700 |
| NPI Number | 1528444254 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 1658681184 |
|---|---|
| Medicare Enrollment ID | O20151112000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528444254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Rajesh P Farmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104845338 PECOS PAC ID: 2860396264 Enrollment ID: I20031126000030 |
| Provider Name | Penny M Chong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710958665 PECOS PAC ID: 8921060765 Enrollment ID: I20041103000218 |
| Provider Name | Miguel E Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558391482 PECOS PAC ID: 3779571880 Enrollment ID: I20050930000232 |
| Provider Name | Lulu A Jimma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669428793 PECOS PAC ID: 9234111402 Enrollment ID: I20080204000414 |
| Provider Name | Joan K Lieser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689645962 PECOS PAC ID: 8729273743 Enrollment ID: I20101116000232 |
| Provider Name | Jessica Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790094431 PECOS PAC ID: 8921281387 Enrollment ID: I20110322000633 |
| Provider Name | Sonali Bagchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841363181 PECOS PAC ID: 9032395975 Enrollment ID: I20110511000048 |
| Provider Name | Khadija Najid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164715959 PECOS PAC ID: 4789858341 Enrollment ID: I20111116000247 |
| Provider Name | Anisha L Roussel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558349597 PECOS PAC ID: 7911166384 Enrollment ID: I20120306000125 |
| Provider Name | Michelle M Vital |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386612380 PECOS PAC ID: 2860651122 Enrollment ID: I20120307000090 |
| Provider Name | Nicole Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932524709 PECOS PAC ID: 3779716345 Enrollment ID: I20140506001208 |
| Provider Name | Jason Paul Levy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710274022 PECOS PAC ID: 7416173786 Enrollment ID: I20140722001503 |
| Provider Name | Daphne Hasbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053501692 PECOS PAC ID: 5193968436 Enrollment ID: I20150713000259 |
| Provider Name | Danielle C Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942640453 PECOS PAC ID: 1658677554 Enrollment ID: I20170920002248 |
| Provider Name | Fahd M Moeez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548671159 PECOS PAC ID: 9133428659 Enrollment ID: I20171027001057 |
| Provider Name | Chloe J Rugut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154749299 PECOS PAC ID: 7618299470 Enrollment ID: I20180820001969 |
| Provider Name | Kimberly Gerardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982265419 PECOS PAC ID: 0345576021 Enrollment ID: I20190802000501 |
| Provider Name | Marie Claude Udell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861030223 PECOS PAC ID: 6709216054 Enrollment ID: I20200429000015 |
| Provider Name | Diane Mcquillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609262179 PECOS PAC ID: 1456690742 Enrollment ID: I20200515000100 |
| Provider Name | Christie F Babilonia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134779630 PECOS PAC ID: 3274964606 Enrollment ID: I20200519000227 |
| Provider Name | Ieachia Dingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700064417 PECOS PAC ID: 2668556762 Enrollment ID: I20210302000039 |
| Provider Name | Amanda Marie Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205410941 PECOS PAC ID: 6608278189 Enrollment ID: I20210706003040 |
| Provider Name | Randi Rosen-kamen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760717110 PECOS PAC ID: 4981001070 Enrollment ID: I20210915002973 |
| Provider Name | Lindsey M Mara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861062473 PECOS PAC ID: 7315345303 Enrollment ID: I20211122001845 |
| Provider Name | Sherin Aney Kurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609575000 PECOS PAC ID: 7315302544 Enrollment ID: I20230424000515 |
| Provider Name | Deyanery Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083306153 PECOS PAC ID: 7214398098 Enrollment ID: I20230726000948 |
| Provider Name | Katie G Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851070742 PECOS PAC ID: 5799148755 Enrollment ID: I20230824001224 |
| Provider Name | Uzma Kewan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114280260 PECOS PAC ID: 2264760420 Enrollment ID: I20240313001248 |
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