DR. MARC THOMAS MONGEAU (NPI# 1053662379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662379 |
| Entity Type | Individual |
| Full Name | DR. MARC THOMAS MONGEAU |
| Credential | D.O. |
| Practice Address |
435 Hurffville Cross Keys Rd Turnersville NJ 08012 |
| Mailing Address |
900 Medical Center Dr Ste 205 Sewell NJ 08080-2358 |
| Practice Telephone | 8565134124 |
| Practice Fax Number | 8563023926 |
| Mailing Telephone | 8445422273 |
| Mailing Fax Number | 8565534390 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MB10141500 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Medical Center Dr Ste 201, Sewell, NJ 080802358 | 8565134124 | 8563023926 |
| 900 Medical Center Dr Ste 205, Sewell, NJ 080802358 | 8445422273 | 8562182101 |
| Street Address |
435 HURFFVILLE CROSS KEYS RD |
| City | TURNERSVILLE |
| State | NJ |
| Zip Code | 08012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300139 | James J. Haney IIi | Radiology | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2005-07-19 |
| 1629676945 | Elizabeth Bernard | Nurse Anesthetist, Certified Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2020-10-09 |
| 1326645847 | Caitlin Krasowski | Nurse Anesthetist, Certified Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2020-10-07 |
| 1033723218 | Andrea Rose Mazzei | Nurse Anesthetist, Certified Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2020-09-03 |
| 1093350498 | Lauren Christina Danner | Nurse Anesthetist, Certified Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2019-11-10 |
| 1437794948 | Gina Smith | Nurse Practitioner | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2019-11-08 |
| 1841760022 | Kelsey Ann Thornton | Dietitian, Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2018-11-29 |
| 1184192940 | Bolaji Osei | Nurse Practitioner | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2018-11-08 |
| 1629508544 | Breanne Nicole Hileman | Student in an Organized Health Care Education/Training Program | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2017-06-13 |
| 1336695501 | Michael Van Fossen Jr. | Nurse Anesthetist, Certified Registered | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898550 | Caroline I Scott | In Home Supportive Care | 60 Lawrence Ln, Blackwood, NJ 08012 | 2020-07-17 |
| 1073154092 | Gina Marie Romano | Behavioral Analyst | 12 Braemar Ave, Blackwood, NJ 08012 | 2019-10-01 |
| 1245745777 | Chandler Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3408 Hight Street, Blackwood, NJ 08012 | 2017-12-06 |
| 1962917625 | Dpsp Health Care LLC | Home Health | 860 Rt. 168, Suite 207, Turners Ville, NJ 08012 | 2017-12-04 |
| 1871003103 | Sayana Modi LLC | Pharmacy | 460 Hurffville Crosskeys Rd, Tunersville, NJ 08012 | 2017-09-30 |
| 1427590827 | Cillo Chiropractic LLC | Chiropractor | 10 Woodlane Drive, Blackwood, NJ 08012 | 2016-11-16 |
| 1609327006 | Lena F Robinson | Registered Nurse | 435 Huffville Crosskeys Road, Turnersville, NJ 08012 | 2016-10-20 |
| 1316493026 | Partners In Homecare Services | In Home Supportive Care | 400 East Church St ., Blackwood, NJ 08012 | 2016-09-01 |
| 1710357710 | Wendy Hughes | Counselor | 900 Route 168 Ste B6, Turnersville, NJ 08012 | 2015-10-02 |
| 1043602337 | Erika White | Pharmacy Technician | 4001 State Route 42, Turnersville, NJ 08012 | 2015-02-24 |
| Find all providers in zip 08012 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154408516 | Gary A Agia | Internal Medicine | 1a Regulus Drive, Turnersville, NJ 08012 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
| 1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
| 1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
| 1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
| City | TURNERSVILLE |
| Zip Code | 08012 |
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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.