| Samaritan Homevisit Physicians PC | |
|
3906 Church Rd Mount Laurel NJ 08054-1108 | |
| (856) 552-3261 | |
| Not Available |
| Full Name | Samaritan Homevisit Physicians PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3906 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Rebecca Damato (DIRECTOR OF PRACTICE MANAGEMENT) |
| Authorized Official Contact | 8565961600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Homevisit Physicians PC 3906 Church Rd Mount Laurel NJ 08054-1108 Ph: (856) 596-1600 | Samaritan Homevisit Physicians PC 3906 Church Rd Mount Laurel NJ 08054-1108 Ph: (856) 552-3261 |
| NPI Number | 1366088858 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 8820423163 |
|---|---|
| Medicare Enrollment ID | O20200115001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366088858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Angela T Marinucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447276431 PECOS PAC ID: 8921079369 Enrollment ID: I20040802000323 |
| Provider Name | Stephen P Goldfine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578608162 PECOS PAC ID: 2365516655 Enrollment ID: I20080805000449 |
| Provider Name | Michelle Fiolkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245267517 PECOS PAC ID: 4082763149 Enrollment ID: I20090519000628 |
| Provider Name | Sharon R Rainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467530139 PECOS PAC ID: 8820120371 Enrollment ID: I20100719000502 |
| Provider Name | Janine M Pecora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164438271 PECOS PAC ID: 0749306512 Enrollment ID: I20100929000920 |
| Provider Name | Hermina Y Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679882740 PECOS PAC ID: 3678759727 Enrollment ID: I20110525000490 |
| Provider Name | Michelle J Crass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366821712 PECOS PAC ID: 6002129517 Enrollment ID: I20150713001882 |
| Provider Name | Rita Kabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677949 PECOS PAC ID: 3072828144 Enrollment ID: I20150818006109 |
| Provider Name | Elizabeth a Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477116028 PECOS PAC ID: 0648505115 Enrollment ID: I20190708000103 |
| Provider Name | Brooke Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194364745 PECOS PAC ID: 5799106175 Enrollment ID: I20200611000721 |
| Provider Name | Lena F Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327006 PECOS PAC ID: 3577980168 Enrollment ID: I20200827001813 |
| Provider Name | Shainna Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093330201 PECOS PAC ID: 1557788155 Enrollment ID: I20200827001986 |
| Provider Name | Courtney Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219410 PECOS PAC ID: 1254741226 Enrollment ID: I20201102002195 |
| Provider Name | Batulio J Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912542697 PECOS PAC ID: 5799175469 Enrollment ID: I20211213000918 |
| Provider Name | Olga Mercedes Cala Rizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659269 PECOS PAC ID: 9133506298 Enrollment ID: I20220511002808 |
| Provider Name | Kavita Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851082416 PECOS PAC ID: 2769841022 Enrollment ID: I20230726002887 |
| Provider Name | Kristine Anne Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175261 PECOS PAC ID: 1254764707 Enrollment ID: I20231205003898 |
| Provider Name | Leona Yvetta Owusu Dapaah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265205124 PECOS PAC ID: 2163875675 Enrollment ID: I20240131004699 |
| Provider Name | Tracie Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124894019 PECOS PAC ID: 2062855729 Enrollment ID: I20240209000434 |
| Provider Name | Shem Reece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538596887 PECOS PAC ID: 4587100839 Enrollment ID: I20240723000700 |
| Provider Name | Euphemia Marlene Carolan Lazarus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396416392 PECOS PAC ID: 1850825951 Enrollment ID: I20241112003283 |
| Provider Name | Teresa Lashana Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306546569 PECOS PAC ID: 4981124856 Enrollment ID: I20250221001811 |
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