HAMILTON INTERNAL MEDICINE LLC (NPI# 1003232851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003232851 |
| Entity Type | Organization |
| Organization Name | HAMILTON INTERNAL MEDICINE LLC |
| Other Organization Name | HAMILTON INTERNAL MEDICINE |
| Practice Address |
2055 Klockner Rd Trenton NJ 08690-3413 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6095868996 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA07092800 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Hamilton Internal Medicine | Doing Business As Name - Organization |
| Street Address |
2055 KLOCKNER RD |
| City | TRENTON |
| State | NJ |
| Zip Code | 08690-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851345995 | Sofia Mavasheva | Internal Medicine | 2055 Klockner Rd, Trenton, NJ 08690-3413 | 2006-05-22 |
| 1215974902 | Edward B Laub | Internal Medicine | 2055 Klockner Rd, Trenton, NJ 08690-3413 | 2006-06-01 |
| 1811943194 | Pamela S Ford | Nurse Practitioner | 2055 Klockner Rd, Trenton, NJ 08690-3413 | 2006-05-26 |
| 1356395362 | Hamilton Internal Medicine, LLC | Internal Medicine | 2055 Klockner Rd, Trenton, NJ 08690-3413 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982936 | Sarah Moore | Registered Nurse | Robert Wood Johnson Hospital, 1 Hamilton Health Place, Hamilton, NJ 08690 | 2020-02-03 |
| 1871136598 | Ariel Alexis Nardini | Counselor | 2135 Nj-33, Trenton, NJ 08690 | 2019-10-25 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1043736978 | Sanna Quasmieh | Occupational Therapist | 2277 Route 33 Ste 411, Hamilton, NJ 08690 | 2017-08-22 |
| 1972054336 | Joseph Cacciabaudo | Specialist | 864 Estates Blvd., Hamilton Square, NJ 08690 | 2016-10-20 |
| 1629432315 | Liqin Zhang | Nurse Practitioner | 2065 Klockner Rd., Trenton, NJ 08690 | 2016-04-08 |
| 1780059527 | Shalom Therapeutic Services LLC | Clinic/Center | 1374 White Horse Hamilton Square Rd, 301, Hamilton, NJ 08690 | 2015-12-04 |
| 1639554926 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 433 Princeton Ave, Hamilton, NJ 08690 | 2015-07-28 |
| 1043692783 | Hamilton Township Dental Associates LLC | Dentist | 1262 Whitehorse Hamilton Square Road, Hamilton Township, NJ 08690 | 2015-06-18 |
| 1255710182 | Lauren Domanski | Chiropractor | 1670 Whitehorse Hamilton Sq. Rd., Hamilton, NJ 08690 | 2015-05-26 |
| Find all providers in zip 08690 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831570860 | Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Non-Pharmacy Dispensing Site | 437 E State St, Trenton, NJ 08608-1501 | 2015-06-16 |
| 1225456130 | Ewing Medical Associates Pa | Non-Pharmacy Dispensing Site | 1539 Pennington Rd, Trenton, NJ 08618 | 2014-03-29 |
| 1710317433 | Mercer Internists PC | Non-Pharmacy Dispensing Site | 40 Fuld St, Suite 201, Trenton, NJ 08638-5247 | 2013-11-15 |
| 1881780948 | Planned Parenthood Assoc. of The Mercer Area, Inc. | Non-Pharmacy Dispensing Site | 437 E State St, Trenton, NJ 08608-1501 | 2006-10-05 |
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|---|---|---|---|---|
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| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.