MS. RENEE M LANGSTAFF


Address: 401 Young Ave Ste 275, Moorestown, NJ 08057-3141
Phone: 8562918855

MS. RENEE M LANGSTAFF (NPI# 1083677918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083677918
Entity Type Individual
Full Name MS. RENEE M LANGSTAFF
Other Name MS. RENEE M VACANTI
Credential PA-C
Practice Address 401 Young Ave Ste 275
Moorestown
NJ 08057-3141
Mailing Address 200 Trenton Rd
Browns Mills
NJ 08015-1705
Practice Telephone 8562918855
Practice Fax Number 8562918844
Mailing Telephone 6098936611
Enumeration Date 2006-04-11
Last Update Date 2019-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
25MP00039600 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 026097 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Trenton Rd, Browns Mills, NJ 080151705 6098936611

Office Location

Street Address 401 YOUNG AVE STE 275
City MOORESTOWN
State NJ
Zip Code 08057-3141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245644327 Maria Elena Minton Nurse Practitioner 401 Young Ave Ste 275, Moorestown, NJ 08057 2014-06-17
1144669268 Eduard Koman Internal Medicine 401 Young Ave Ste 275, Moorestown, NJ 08057-3141 2013-06-21

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1740653088 Cathleen Wright Acupuncturist 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 2015-11-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033364419 Lucretia S Romero Physician Assistant 1217 N Church St, Moorestown, NJ 08057-1143 2008-11-26
1457495459 Janet M Mendel Physician Assistant 110 Marter Ave, Suite 102, Moorestown, NJ 08057-3124 2007-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891300612 Heather C. Williamson Physician Assistant 57 Willis Dr, West Trenton, NJ 08628 2020-09-09
1427660810 Lauren Colacicco Physician Assistant 406 Nj-23 North, Franklin, NJ 07416 2020-08-18
1912525353 Thy T Pham Physician Assistant 2 Capital Way Ste 407, Pennington, NJ 08534-2521 2020-07-13
1982226270 Alexandra Bellisario Physician Assistant 7 Normandy Pl, Colts Neck, NJ 07722-1174 2020-05-11
1497394266 Trevor Paul Physician Assistant 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 2019-12-27
1295371003 Sujin Kim Physician Assistant 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 2019-11-27
1811531767 Kaceyanne Lynn Cerankowski Physician Assistant 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 2019-11-04
1760024665 Paula Kolodynski Physician Assistant 355 Us Route 22, Springfield Township, NJ 07081 2019-10-11
1245871334 Terrell Amanda Collins Physician Assistant 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 2019-10-01
1013561422 Adrienne Lauren Rinaldi Physician Assistant 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 2019-07-25
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Competitor

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City MOORESTOWN
Zip Code 08057

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Dataset Information

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.

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