MR. SCOTT MATTHEW EDMONDSON (NPI# 1104007285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104007285 |
Entity Type | Individual |
Full Name | MR. SCOTT MATTHEW EDMONDSON |
Credential | PA-C |
Practice Address |
630 Mantua Pike Woodbury NJ 08096-3233 |
Mailing Address |
Po Box 758952 Baltimore MD 21275-8952 |
Practice Telephone | 8568122220 |
Practice Fax Number | 8568122221 |
Mailing Telephone | 8049685700 |
Enumeration Date | 2007-11-17 |
Last Update Date | 2015-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00352600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
630 MANTUA PIKE |
City | WOODBURY |
State | NJ |
Zip Code | 08096-3233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083663769 | Joseph Louis Granito | Emergency Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2006-05-09 |
1932670486 | Regina M Costroff | Physician Assistant | 630 Mantua Pike, Woodbury, NJ 08096 | 2018-12-10 |
1689021842 | Christen Denise Ground | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2016-05-18 |
1336538701 | Patient First Maryland Physician Group, P.C. | Non-Pharmacy Dispensing Site | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2015-01-22 |
1609280999 | Patient First Maryland Physicians Group, P.C. | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2014-06-16 |
1225373111 | Adriana Davis | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2012-12-03 |
1548524838 | Patrick Antonio | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2012-07-02 |
1699077909 | Fern Elyse Kopp Mulberg | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2010-11-19 |
1689698813 | Nancy A. Bierman-dear | Family Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2006-07-27 |
1891737722 | Dale Norman Goode | Emergency Medicine | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2006-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
Find all providers in zip 08096 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013496892 | Daniel Louis Fazzino | Physician Assistant | 76 Barnhill Rd, Woodbury, CT 06798-2219 | 2018-08-12 |
1871789123 | Alissa Paul | Physician Assistant | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2007-09-20 |
1457460743 | Anthony F Orlando | Physician Assistant | 608 N Broad St, Suite 100, Woodbury, NJ 08096-1794 | 2006-08-30 |
1992746242 | Susan Tamagni | Physician Assistant | 159 S Broad St, Woodbury, NJ 08096-2410 | 2006-06-09 |
1437523248 | Abigail House Tierney | Physician Assistant | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-11-17 |
1396149910 | Matthew Voit | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2014-10-09 |
1588086821 | Krystina Zeliff | Physician Assistant | 875 Mantua Pike, Woodbury, NJ 08096 | 2014-01-06 |
1326312430 | Brian W. Boockoff | Physician Assistant | 414 Tatum St, Woodbury, NJ 08096-3499 | 2012-03-07 |
1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
1467733816 | Andrea M Bolesta | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2011-08-30 |
Find all providers in WOODBURY |
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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.