| Bancroft, A New Jersey Nonprofit Corporation | |
|
1255 Caldwell Rd Cherry Hill NJ 08033 | |
| (856) 348-1137 | |
| (856) 216-1269 |
| Full Name | Bancroft, A New Jersey Nonprofit Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1255 Caldwell Rd, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Jennifer Cripps (CFO) |
| Authorized Official Contact | 8563481196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bancroft, A New Jersey Nonprofit Corporation 1255 Caldwell Rd Cherry Hill NJ 08033 Ph: (856) 348-1137 | Bancroft, A New Jersey Nonprofit Corporation 1255 Caldwell Rd Cherry Hill NJ 08033 Ph: (856) 348-1137 |
| NPI Number | 1720121106 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Medicare PECOS PAC ID | 3476842824 |
|---|---|
| Medicare Enrollment ID | O20160525001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720121106 | NPI | - | NPPES |
| Provider Name | Karen Lindgren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427277177 PECOS PAC ID: 5890737134 Enrollment ID: I20050526000025 |
| Provider Name | Poornima Katakam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619178019 PECOS PAC ID: 4486679297 Enrollment ID: I20051011000688 |
| Provider Name | Mary A Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447231501 PECOS PAC ID: 3870635667 Enrollment ID: I20100115000751 |
| Provider Name | Jennifer Sabo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104157585 PECOS PAC ID: 2466588645 Enrollment ID: I20100326000498 |
| Provider Name | Lois C Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164797064 PECOS PAC ID: 1052572427 Enrollment ID: I20120411000398 |
| Provider Name | Sarah E West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427301258 PECOS PAC ID: 0749504520 Enrollment ID: I20150127001360 |
| Provider Name | Carolyn G Tassini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902294705 PECOS PAC ID: 7810213949 Enrollment ID: I20150306001531 |
| Provider Name | Danielle Ager |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770851883 PECOS PAC ID: 3072765635 Enrollment ID: I20150819006695 |
| Provider Name | Samantha Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528434784 PECOS PAC ID: 7810206729 Enrollment ID: I20151015001530 |
| Provider Name | Catherine D Love |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194132258 PECOS PAC ID: 7416259379 Enrollment ID: I20160108001446 |
| Provider Name | Jillian G Gordon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033574561 PECOS PAC ID: 1951604545 Enrollment ID: I20160114000594 |
| Provider Name | Jennifer Girgenti |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801928940 PECOS PAC ID: 5799088555 Enrollment ID: I20160128001137 |
| Provider Name | Vanessa Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124256599 PECOS PAC ID: 6800190984 Enrollment ID: I20160210001480 |
| Provider Name | Diane Georgetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972963346 PECOS PAC ID: 4385941269 Enrollment ID: I20160321000072 |
| Provider Name | Claire Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780722769 PECOS PAC ID: 1254318207 Enrollment ID: I20160322002258 |
| Provider Name | Stacey Macpaintsil Ostrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860601 PECOS PAC ID: 0648577007 Enrollment ID: I20160330000270 |
| Provider Name | Kathryn Joan Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710139951 PECOS PAC ID: 7911281639 Enrollment ID: I20170224000809 |
| Provider Name | Theresa Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417181942 PECOS PAC ID: 7113267220 Enrollment ID: I20190327000233 |
| Provider Name | Jeremy Schwarzbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295191294 PECOS PAC ID: 2163726613 Enrollment ID: I20190617002238 |
| Provider Name | Taylor Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346883592 PECOS PAC ID: 5698101699 Enrollment ID: I20200211002502 |
| Provider Name | Ashlee Battle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609146083 PECOS PAC ID: 0941622997 Enrollment ID: I20200619000653 |
| Provider Name | Tiffany Channing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861003394 PECOS PAC ID: 2668898354 Enrollment ID: I20200812000895 |
| Provider Name | Nicole Claire Peniston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154822443 PECOS PAC ID: 9537570106 Enrollment ID: I20201203000753 |
| Provider Name | Luke J Hayslip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184278681 PECOS PAC ID: 9133533169 Enrollment ID: I20210202001906 |
| Provider Name | Maureen Perno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275985327 PECOS PAC ID: 0547558975 Enrollment ID: I20220407002778 |
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