MARK J PELLO (NPI# 1073602546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073602546 |
| Entity Type | Individual |
| Full Name | MARK J PELLO |
| Credential | M.D. |
| Practice Address |
3 Cooper Plz Rm 411 Cooper Surgical Associates Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563423412 |
| Practice Fax Number | 8563651180 |
| Mailing Telephone | 8569687433 |
| Mailing Fax Number | 8569688499 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MA32132 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 16735 | 01 |
| NJ | OXFORD HEALTH PLAN | P531590 | 01 |
| NJ | AMERIHEALTH/KESYTONE/IBC | 0097397000 | 01 |
| NJ | UNITED HEALTHCARE | 1242926 | 01 |
| NJ | UNIVERSITY HEALTH PLAN | 22502 | 01 |
| NJ | CIGNA | 6710804 | 01 |
| NJ | 1328701 | 05 | |
| NJ | HEALTHNET | 3K6211 | 01 |
| NJ | AMERICHOICE | CA0000068 | 01 |
| NJ | AMERIHEALTH PPO/PA BS | 400785 | 01 |
| NJ | HORIZON NJ HEALTH | 1010875 | 01 |
| Street Address |
3 COOPER PLZ RM 411 COOPER SURGICAL ASSOCIATES |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598256 | Steven Bonawitz | Plastic Surgery | 3 Cooper Plz Rm 411, Camden, NJ 08103 | 2005-12-12 |
| 1245858091 | Anna Caroline Stevens | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-08 |
| 1023635240 | Olivia Coburn-flynn | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-03 |
| 1689296766 | Swar N Vimawala | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-05-12 |
| 1700428075 | Stephanie Lynne Benko | Physician Assistant | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-10-08 |
| 1295396364 | Andrew Chia Hsueh Lin | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-27 |
| 1851950745 | Georgianna Amelia Sandilos | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-13 |
| 1386207702 | Alec Hayes Fisher | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-22 |
| 1053974824 | Mikael Fadoul | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-17 |
| 1336635929 | Clara Zhu | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073870010 | Danica Giugliano | Colon & Rectal Surgery | 2 Cooper Plz, Camden, NJ 08103 | 2012-04-16 |
| 1902192529 | Cooper Surgical Associates, Pa | Colon & Rectal Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1720107758 | Cooper Surgical | Colon & Rectal Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911356 | Matthew David Huk | Colon & Rectal Surgery | 435 South St Ste 360, Morristown, NJ 07960-6479 | 2011-07-07 |
| 1598055824 | Gregory J Gallina Md PC | Colon & Rectal Surgery | 255 West Spring Valley Ave., # 103, Maywood, NJ 07607-1444 | 2011-04-07 |
| 1083829840 | Raymond Frederick Crystal | Colon & Rectal Surgery | 325 Long Hill Dr, Short Hills, NJ 07078-1530 | 2007-05-14 |
| 1932260015 | Ralph B Korkor | Colon & Rectal Surgery | 994 White Horse Ave, Hamilton Medical Building, Hamilton, NJ 08610-1428 | 2006-12-13 |
| 1952477986 | Debra R Tarantino | Colon & Rectal Surgery | 231 Millburn Avenue, Millburn, NJ 07041-1718 | 2006-11-28 |
| 1801909007 | Ocean Colon and Rectal Surgery, P.a. | Colon & Rectal Surgery | 1163 Route 37 W Ste D2, Toms River, NJ 08755-4975 | 2006-08-15 |
| 1609892231 | Barash-white, Md, Pa | Colon & Rectal Surgery | 216 Engle St. #203, Englewood, NJ 07631 | 2006-07-15 |
| 1871539858 | Daniel Lee Sadler | Colon & Rectal Surgery | 704 Route 202 South, Bridgewater, NJ 08807 | 2006-06-20 |
| 1659315760 | Robert Eng Hong Khoo | Colon & Rectal Surgery | 44 Nautilus Dr Ste 201, Manahawkin, NJ 08050-2466 | 2006-06-16 |
| 1447217427 | Alfred Francis Wolkomir | Colon & Rectal Surgery | 205 Maple Ave, Red Bank, NJ 07701-1727 | 2006-04-26 |
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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.