| Rowansom New Jersey Institute For Successful Aging | |
|
42 East Laurel Road Udp, 1800 Stratford NJ 08084 | |
| (856) 566-6843 | |
| (856) 566-6419 |
| Full Name | Rowansom New Jersey Institute For Successful Aging |
|---|---|
| Speciality | Internal Medicine |
| Location | 42 East Laurel Road, Stratford, New Jersey |
| Authorized Official Name and Position | Michael Rieker (INTERIM CHIEF FINANCIAL OFFICIER) |
| Authorized Official Contact | 8567705729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowansom New Jersey Institute For Successful Aging Po Box 635 Bellmawr NJ 08099-0635 Ph: (856) 566-6706 | Rowansom New Jersey Institute For Successful Aging 42 East Laurel Road Udp, 1800 Stratford NJ 08084 Ph: (856) 566-6843 |
| NPI Number | 1881666105 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 6709787914 |
|---|---|
| Medicare Enrollment ID | O20040120000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881666105 | NPI | - | NPPES |
| CI0612 | Other | NJ | RAILROAD MEDICARE |
| 3407004 | Medicaid | NJ |
| Provider Name | Paul N Bryman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609849819 PECOS PAC ID: 7012809692 Enrollment ID: I20040329000011 |
| Provider Name | Lesly A D'ambola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285653097 PECOS PAC ID: 1557331352 Enrollment ID: I20040729000104 |
| Provider Name | Paul P Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700814795 PECOS PAC ID: 0042286908 Enrollment ID: I20040902000804 |
| Provider Name | Adaora O Okoli Umeweni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144200080 PECOS PAC ID: 0244292738 Enrollment ID: I20041027000896 |
| Provider Name | Chetna A Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831179134 PECOS PAC ID: 9234171794 Enrollment ID: I20050525000033 |
| Provider Name | William M Hasbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295762466 PECOS PAC ID: 1557306495 Enrollment ID: I20050622000360 |
| Provider Name | Terrie Beth Ginsberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361663 PECOS PAC ID: 3577599554 Enrollment ID: I20050712000011 |
| Provider Name | Thomas A Cavalieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497735484 PECOS PAC ID: 0749216729 Enrollment ID: I20050712000024 |
| Provider Name | Halina M Kedziora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871573782 PECOS PAC ID: 0547296279 Enrollment ID: I20050713000793 |
| Provider Name | Anita Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730169731 PECOS PAC ID: 8022048719 Enrollment ID: I20050812000392 |
| Provider Name | Abdul W Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689654691 PECOS PAC ID: 5496776189 Enrollment ID: I20051209000032 |
| Provider Name | Kevin J Overbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861412421 PECOS PAC ID: 3971518838 Enrollment ID: I20060214000169 |
| Provider Name | Cindy L Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184801672 PECOS PAC ID: 4284603671 Enrollment ID: I20081004000066 |
| Provider Name | Edgardo Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689811622 PECOS PAC ID: 5890851505 Enrollment ID: I20090304000763 |
| Provider Name | John F Bertagnolli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295715787 PECOS PAC ID: 0446392740 Enrollment ID: I20100126000012 |
| Provider Name | Donald R Noll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093708067 PECOS PAC ID: 5092873190 Enrollment ID: I20100429000722 |
| Provider Name | Kimberly A Covington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336307396 PECOS PAC ID: 0446448062 Enrollment ID: I20101227000534 |
| Provider Name | Rebecca A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295943462 PECOS PAC ID: 2769636885 Enrollment ID: I20130125000137 |
| Provider Name | Wunhuey Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063651677 PECOS PAC ID: 4385882455 Enrollment ID: I20130531000004 |
| Provider Name | Leonard Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750644928 PECOS PAC ID: 6608184767 Enrollment ID: I20151009001100 |
| Provider Name | Deborah J Larmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639388556 PECOS PAC ID: 7618276494 Enrollment ID: I20160817002141 |
| Provider Name | Jesse Susan Abesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487067674 PECOS PAC ID: 3971858473 Enrollment ID: I20180625003149 |
| Provider Name | Megan A Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892030 PECOS PAC ID: 7416215702 Enrollment ID: I20180627000717 |
Destyoncall Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Yale Ave, Suite D, Stratford, NJ 08084 Phone: 856-627-6101 Fax: 856-627-6103 | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E Laurel Rd, Stratford, NJ 08084 Phone: 856-783-2244 Fax: 856-783-8537 | |
Rowansom Nmi Headache Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd, Udp #1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Goldis Geriatrics P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-3469 Fax: 856-346-9456 | |
Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 1st Floor, Stratford, NJ 08084 Phone: 856-783-0870 Fax: 856-783-0649 | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 2nd Floor, Stratford, NJ 08084 Phone: 856-783-1987 | |
Rowansom Dept Of Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42 E Laurel Rd Ste 3100, Stratford, NJ 08084 Phone: 856-566-7002 |