| Raymond J Malta, DO | |
|
2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | |
| (856) 488-6816 | |
| (856) 488-6511 |
| Full Name | Raymond J Malta |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2201 Chapel Ave W, Cherry Hill, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366481954 | NPI | - | NPPES |
| 223586506 | Other | NJ | CHAMPUS/TRICARE |
| 6930204 | Medicaid | NJ | |
| 223586506 | Other | NJ | NJBCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MB59354 (New Jersey) | Primary |
| Entity Name | Central Jersey Emergency Medicine Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538106257 PECOS PAC ID: 2769386812 Enrollment ID: O20031121000027 |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Entity Name | Emergency Physician Associates Of South Jersey P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215965231 PECOS PAC ID: 5294648457 Enrollment ID: O20040824001263 |
| Entity Name | Atlanticare Urgent Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083991616 PECOS PAC ID: 3971770959 Enrollment ID: O20120113000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond J Malta, DO 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Raymond J Malta, DO 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 Ph: (856) 488-6816 |
Jarrid Bernhardt, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Jefferson Emergency Department, 2201 Chaple Ave, Cherry Hill, NJ 08002 Phone: 856-488-6816 | |
Daniel L. Herriman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6816 Fax: 856-488-6511 | |
Patrick O. Sullivan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6816 | |
Victor J. Scali, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6816 Fax: 856-488-6511 | |
Kenneth Brown, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Kings Hwy N, Cherry Hill, NJ 08034 Phone: 856-651-7826 | |
Dr. Michael Jacobs, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Doral Dr, Cherry Hill, NJ 08003 Phone: 856-795-6497 Fax: 856-795-6497 | |
Dr. Daniel Edwards, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1305 Kings Hwy N, Cherry Hill, NJ 08034 Phone: 856-651-7826 |