| Salem Physician Practices, P.c. | |
|
310 Woodstown Road Salem NJ 08079-2064 | |
| (856) 935-1000 | |
| (856) 935-3175 |
| Full Name | Salem Physician Practices, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Woodstown Road, Salem, New Jersey |
| Authorized Official Name and Position | William J. Colgan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9734297900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Physician Practices, P.c. 2 Broad St Bloomfield NJ 07003-2547 Ph: (856) 935-1000 | Salem Physician Practices, P.c. 310 Woodstown Road Salem NJ 08079-2064 Ph: (856) 935-1000 |
| NPI Number | 1245705128 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 3476892050 |
|---|---|
| Medicare Enrollment ID | O20190226000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245705128 | NPI | - | NPPES |
| Provider Name | Vishal Bahal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831122704 PECOS PAC ID: 5395633846 Enrollment ID: I20040308000452 |
| Provider Name | Debby R Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376523381 PECOS PAC ID: 2466436134 Enrollment ID: I20040618000085 |
| Provider Name | Ashoke K Deb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088760 PECOS PAC ID: 7719967173 Enrollment ID: I20040726000075 |
| Provider Name | Christopher Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417979618 PECOS PAC ID: 2264402791 Enrollment ID: I20040730000358 |
| Provider Name | Jennifer H Kilgannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609964386 PECOS PAC ID: 3274506613 Enrollment ID: I20040816000023 |
| Provider Name | Inciya Rangwalla-malickel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952491250 PECOS PAC ID: 9830153873 Enrollment ID: I20041118000557 |
| Provider Name | Roberto R Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912918400 PECOS PAC ID: 8527969823 Enrollment ID: I20041122000969 |
| Provider Name | Naeem M Amin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659326833 PECOS PAC ID: 9638169618 Enrollment ID: I20050726000377 |
| Provider Name | Manish Suresh Dadhania |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083711345 PECOS PAC ID: 3870525918 Enrollment ID: I20050909000026 |
| Provider Name | Paul R Kouyoumdji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124027172 PECOS PAC ID: 3072521541 Enrollment ID: I20060324000043 |
| Provider Name | Michael P Barrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851334841 PECOS PAC ID: 3678576014 Enrollment ID: I20060824000386 |
| Provider Name | Brenna Wynne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235156258 PECOS PAC ID: 8325044118 Enrollment ID: I20061019000048 |
| Provider Name | Mitchell C Bober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902805013 PECOS PAC ID: 3870595622 Enrollment ID: I20070801000688 |
| Provider Name | Dolly Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619194503 PECOS PAC ID: 2062593700 Enrollment ID: I20080118000408 |
| Provider Name | James Edward Hubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922078906 PECOS PAC ID: 6901989573 Enrollment ID: I20080206000334 |
| Provider Name | Vladimir Bozic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871798777 PECOS PAC ID: 1456446103 Enrollment ID: I20081023000234 |
| Provider Name | Michael S Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104814821 PECOS PAC ID: 6800827551 Enrollment ID: I20090115000024 |
| Provider Name | Robert M Dalsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831139229 PECOS PAC ID: 7517850795 Enrollment ID: I20090630000288 |
| Provider Name | Harish Kakkilaya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902064140 PECOS PAC ID: 3072688027 Enrollment ID: I20090803000688 |
| Provider Name | Angela D Guerrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962734913 PECOS PAC ID: 6002930526 Enrollment ID: I20100903000703 |
| Provider Name | Angela J Oates |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447437868 PECOS PAC ID: 3375730583 Enrollment ID: I20101214000032 |
| Provider Name | Rene Faith Schmatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326146523 PECOS PAC ID: 5698951895 Enrollment ID: I20110524000754 |
| Provider Name | Michael E Dalsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518997980 PECOS PAC ID: 7214915529 Enrollment ID: I20110712000617 |
| Provider Name | Joel S Steinberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477650638 PECOS PAC ID: 5092717900 Enrollment ID: I20121213000148 |
| Provider Name | Nathan D Bodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881855955 PECOS PAC ID: 3375783384 Enrollment ID: I20130715000499 |
| Provider Name | Sameer Poddar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740591247 PECOS PAC ID: 8628212982 Enrollment ID: I20130926000649 |
| Provider Name | Denise L Masilotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790057727 PECOS PAC ID: 7416187281 Enrollment ID: I20140224001606 |
| Provider Name | Joseph F Girone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366692253 PECOS PAC ID: 1658520176 Enrollment ID: I20140303000856 |
| Provider Name | Catherine Ginty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912265331 PECOS PAC ID: 5890914923 Enrollment ID: I20140922002060 |
| Provider Name | Henry C Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841412624 PECOS PAC ID: 5991856775 Enrollment ID: I20141027001920 |
| Provider Name | Vidhi Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275881682 PECOS PAC ID: 3274844048 Enrollment ID: I20150619001290 |
| Provider Name | Paul Karagiannis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558603704 PECOS PAC ID: 1456663491 Enrollment ID: I20150706002106 |
| Provider Name | Joanna Catherine Delvecchio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700144094 PECOS PAC ID: 3870719461 Enrollment ID: I20150826001960 |
| Provider Name | Michael Alexandre Fernandes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861656076 PECOS PAC ID: 5991983447 Enrollment ID: I20150902001827 |
| Provider Name | Nathaniel F Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104217488 PECOS PAC ID: 6204142201 Enrollment ID: I20150908000940 |
| Provider Name | Daniel Timmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730340225 PECOS PAC ID: 5991864381 Enrollment ID: I20151015000632 |
| Provider Name | Okebugwu Kamalu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053720847 PECOS PAC ID: 5991014847 Enrollment ID: I20151016000671 |
| Provider Name | Bradford D Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255365367 PECOS PAC ID: 1850347816 Enrollment ID: I20151208002909 |
| Provider Name | Travante Cartwright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508111568 PECOS PAC ID: 4789985136 Enrollment ID: I20151209001648 |
| Provider Name | Effat Jabeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871901082 PECOS PAC ID: 6002101037 Enrollment ID: I20160830000079 |
| Provider Name | Monil Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649619826 PECOS PAC ID: 2769779719 Enrollment ID: I20160920000718 |
| Provider Name | Rajiv Arapurakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437568318 PECOS PAC ID: 2769760016 Enrollment ID: I20161020002346 |
| Provider Name | Amber Majid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912344078 PECOS PAC ID: 3072892454 Enrollment ID: I20161108002038 |
| Provider Name | Joshua Rempell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417084856 PECOS PAC ID: 4385777200 Enrollment ID: I20170323001485 |
| Provider Name | Sarah Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811933559 PECOS PAC ID: 4789680075 Enrollment ID: I20170608002049 |
| Provider Name | Tyler K Shapiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497047609 PECOS PAC ID: 2769616507 Enrollment ID: I20171030001880 |
| Provider Name | Kerry Michael Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275662041 PECOS PAC ID: 4385707975 Enrollment ID: I20180109002256 |
| Provider Name | Christopher Bartlett Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649699547 PECOS PAC ID: 5698078285 Enrollment ID: I20180724002583 |
| Provider Name | Alison M Jaworski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861810152 PECOS PAC ID: 2860611407 Enrollment ID: I20180724003159 |
| Provider Name | Sarab Inder Singh Sodhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184091779 PECOS PAC ID: 4587911102 Enrollment ID: I20180727000198 |
| Provider Name | Rachel Marie Zang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699192781 PECOS PAC ID: 1456659101 Enrollment ID: I20180727000565 |
| Provider Name | Dana A Albinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180834 PECOS PAC ID: 0840512646 Enrollment ID: I20180821003400 |
| Provider Name | Vadim Divilov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841678422 PECOS PAC ID: 1759630577 Enrollment ID: I20181231000122 |
| Provider Name | Deena Diamond Wasserman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407201908 PECOS PAC ID: 1052603776 Enrollment ID: I20190807001908 |
| Provider Name | Reid Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649714114 PECOS PAC ID: 9638407414 Enrollment ID: I20190819002540 |
| Provider Name | John Anthony Cafaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609311984 PECOS PAC ID: 0941538516 Enrollment ID: I20190820003004 |
| Provider Name | Kimberly Renee Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154956001 PECOS PAC ID: 9133541238 Enrollment ID: I20200618001466 |
| Provider Name | Wai Lau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457761595 PECOS PAC ID: 7719375021 Enrollment ID: I20211019001018 |
Salem Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd, Salem, NJ 08079 Phone: 856-935-1000 | |
Southern Jersey Family Medical Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 238 E Broadway, Salem, NJ 08079 Phone: 856-935-7711 Fax: 856-935-9123 | |
Wamiq Sultan, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Route 45, Salem, NJ 08079 Phone: 856-221-7169 Fax: 856-221-7278 | |
Ssb Hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Route 45, Salem, NJ 08079 Phone: 856-912-0412 Fax: 856-221-7278 | |
Edward W Cipolla Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Woodstown Rd Ste 1, Salem, NJ 08079 Phone: 856-935-0804 Fax: 856-935-4039 | |
Advanced Endocrinology,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd Fl 4, Salem, NJ 08079 Phone: 856-226-9050 |