| Rowansom Nmi Osteopathic Manipulative Medicine | |
|
42 Laurel Rd E Udp, Suite 1700 Stratford NJ 08084-1354 | |
| (856) 566-7010 | |
| (856) 566-6956 |
| Full Name | Rowansom Nmi Osteopathic Manipulative Medicine |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & OMM |
| Location | 42 Laurel Rd E, 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 Nmi Osteopathic Manipulative Medicine Po Box 635 Bellmawr NJ 08099-0635 Ph: (856) 566-6706 | Rowansom Nmi Osteopathic Manipulative Medicine 42 Laurel Rd E Udp, Suite 1700 Stratford NJ 08084-1354 Ph: (856) 566-7010 |
| NPI Number | 1447220611 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 0244212140 |
|---|---|
| Medicare Enrollment ID | O20040603001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447220611 | NPI | - | NPPES |
| 3215601 | Medicaid | NJ | |
| CG2521 | Other | NJ | RAILROAD MEDICARE GROUP |
| Provider Name | Millicent K Channell |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1043280159 PECOS PAC ID: 9638114374 Enrollment ID: I20050623000653 |
| Provider Name | Danielle L Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972701613 PECOS PAC ID: 1951593854 Enrollment ID: I20101011000780 |
| Provider Name | Alexander Jaewon King |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578003976 PECOS PAC ID: 7113334509 Enrollment ID: I20210331002354 |
| Provider Name | Jan F Czerepak |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1922416387 PECOS PAC ID: 7416939632 Enrollment ID: I20220831000254 |
Destyoncall Pediatrics 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 Medical Group Practice, P.c. 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: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 3100, Stratford, NJ 08084 Phone: 856-566-7002 |