KIM ELLEN ROYCROFT (NPI# 1093099491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093099491 |
| Entity Type | Individual |
| Full Name | KIM ELLEN ROYCROFT |
| Credential | PA |
| Practice Address |
200 Trenton Rd Browns Mills NJ 08015-1705 |
| Practice Telephone | 6098931200 |
| Mailing Telephone | 6098931200 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00256100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 TRENTON RD |
| City | BROWNS MILLS |
| State | NJ |
| Zip Code | 08015-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540680 | Robert J Schott | Internal Medicine | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2005-10-03 |
| 1841806379 | Thomas Raymond Chranowski | Pharmacist | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2020-09-21 |
| 1306452958 | Parijat Billah | Pharmacist | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2020-09-18 |
| 1134755168 | Mark Breeding | Physical Therapist | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2020-03-21 |
| 1417503012 | Diana L. Paone | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2019-08-11 |
| 1629574025 | Victoria Giorno | Physician Assistant | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2018-04-04 |
| 1265949358 | Allie Campo | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015 | 2018-01-10 |
| 1043738628 | Kristee Mcgowan | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2017-09-05 |
| 1356865968 | Edina Lula | Registered Nurse | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2017-07-26 |
| 1700327012 | Meet Shah | Student in an Organized Health Care Education/Training Program | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130555 | Claramente LLC | Counselor | 103 Pennsyvlania Trl, Browns Mills, NJ 08015 | 2020-06-30 |
| 1861969388 | Garden State Diagnostic Imaging | Clinic/Center | 6 Earlin Avenue, 160, Brown Mills, NJ 08015 | 2018-11-02 |
| 1013497056 | Woodland Volunteer Fire & Ems Inc | Ambulance | 13 Lake Drive, Browns Mills, NJ 08015 | 2018-08-20 |
| 1306221023 | Kaisha Holloway | Clinic/Center | 605 Sandra Drive, Browns Mills, NJ 08015 | 2015-07-23 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1932333648 | Robert N Keddis | Anesthesiology | 200 Trenton Raod, Floor 1, Browns Mills, NJ 08015 | 2009-05-08 |
| 1467616995 | Vijay Kamath | Surgery | 200 Trenton Rd Ste 2130, Browns Mills, NJ 08015 | 2008-07-14 |
| 1942407747 | Christine Anne Brown | Nurse Practitioner | 130 Lakehurst Rd Frnt, Browns Mills, NJ 08015 | 2007-06-27 |
| 1861695744 | Shapiro Berlin Med Asso | Family Medicine | 34 Lakehurst Rd. Juluistown Rd, Browns Mills, NJ 08015 | 2007-06-07 |
| 1568540904 | Lorraine Varela | Podiatrist | 77 Pemberton Browns Mills Rd, Browns Mills, NJ 08015 | 2006-11-02 |
| Find all providers in zip 08015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770593287 | Brian Lentz | Physician Assistant | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2006-08-08 |
| 1578573002 | Maria Mendonca-collito | Physician Assistant | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2006-08-08 |
| 1396779955 | Amy Decker | Physician Assistant | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2006-07-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROWNS MILLS |
| Zip Code | 08015 |
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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.