DR. JONATHAN T WISEMAN (NPI# 1063548154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063548154 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN T WISEMAN |
| Credential | DO |
| Practice Address |
129 Bridgeboro St Riverside NJ 08075-3201 |
| Practice Telephone | 8564610766 |
| Practice Fax Number | 8564617095 |
| Mailing Telephone | 8564610766 |
| Mailing Fax Number | 8564617095 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB07242800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2688905 | 05 |
| Street Address |
129 BRIDGEBORO ST |
| City | RIVERSIDE |
| State | NJ |
| Zip Code | 08075-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568597086 | Jonathan T Wiseman Do Pa | Family Medicine | 129 Bridgeboro St, Riverside, NJ 08075-3201 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
| 1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
| 1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
| 1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
| 1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
| 1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
| 1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
| 1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
| 1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
| 1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
| Find all providers in zip 08075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309689 | Lumina Family Care, Inc. | Family Medicine | 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 | 2017-07-21 |
| 1730613019 | Iman Fobia | Family Medicine | 1971 University Avenue, Riverside, CA 92507 | 2017-04-13 |
| 1992189286 | Inpatient Consultants of California, Inc | Family Medicine | 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 | 2015-07-16 |
| 1376920116 | Koohzad Karimi | Family Medicine | 445 Magnolia Avenue, Riverside, CA 92501 | 2015-04-30 |
| 1528474103 | Ivy Cao | Family Medicine | 1971 University Ave, Family Medicine Department, Riverside, CA 92507 | 2014-07-03 |
| 1417372533 | John Mcdevitt | Family Medicine | 3550 Lillian St, Riverside, CA 92504-3609 | 2014-02-26 |
| 1972861797 | Central Occupational Medicine Providers Ontario Inc | Family Medicine | 4300 Central Ave, Riverside, CA 92506-2918 | 2012-04-30 |
| 1619241767 | Inpatient Consultants of California, Inc | Family Medicine | 3610 Central Ave Ste 205, Riverside, CA 92506-5905 | 2012-03-06 |
| 1437438033 | George Samir Nagib | Family Medicine | 7140 Indiana Ave., Riverside, CA 92504-3927 | 2011-08-12 |
| 1902193170 | Metate Medical, Inc. | Family Medicine | 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 | 2011-07-07 |
| Find all providers in RIVERSIDE | ||||
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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.