| Eliza Ermold, OTR/L | |
|
1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | |
| (856) 690-9977 | |
| (856) 507-9918 |
| Full Name | Eliza Ermold |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 20 Years |
| Location | 1940 S West Blvd Bldg A, Vineland, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255457651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00441400 (New Jersey) | Secondary |
| 225X00000X | Occupational Therapist | 0119005752 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc | 1557388436 | 37 |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Premier Orthopaedic & Sports Medicine Assoc Of Southern Nj Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396812574 PECOS PAC ID: 1557388436 Enrollment ID: O20051031000150 |
| Provider Name | Fox Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Eliza Ermold, OTR/L 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200 | Eliza Ermold, OTR/L 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 Ph: (856) 690-9977 |
Gina Black, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3339 Burnt Mill Dr, Vineland, NJ 08360 Phone: 609-675-1699 | |
Elizabeth Mcgrogan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1045 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-692-2850 | |
Miss Jessica Joanna Quisumbing Pulhin, OTRP, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1676 E Landis Ave, Vineland, NJ 08361 Phone: 856-696-6000 Fax: 856-696-6056 | |
Satishkumar Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1888 Autumncrest Dr, Vineland, NJ 08361 Phone: 856-692-7310 | |
Mrs. Amanda Shea Fisher, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1027 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-691-6055 | |
Jessica Parliman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1138 E Chestnut Ave Ste 2b, Vineland, NJ 08360 Phone: 856-355-8834 |