DR. MICHAEL KEVIN MCCORMACK (NPI# 1104998814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104998814 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KEVIN MCCORMACK |
| Credential | PH.D. |
| Practice Address |
42 E Laurel Rd Suite 3600 Stratford NJ 08084-1354 |
| Mailing Address |
1030 Barnegat Ln Mantoloking NJ 08738-1620 |
| Practice Telephone | 8565666469 |
| Mailing Telephone | 7328991469 |
| Mailing Fax Number | 7328996532 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 25MS00001100 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200827 | Michael David Mccormack | Hearing Instrument Specialist | 4016 N Prospect Road, Peoria, IL 61614 | 2010-07-19 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1750878666 | Michael James Mccormack | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, Nashville, TN 37232-0005 | 2018-04-16 |
| 1710304670 | Michael Sean Mccormack | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-03-27 |
| 1003179045 | Michael Joseph Mccormack Jr. | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-5103 | 2012-06-22 |
| 1891007225 | Michael Shawn Mccormack | Dentist | 26 W Dry Creek Cir, Suite 430, Littleton, CO 80120-8063 | 2010-07-14 |
| 1003069238 | Michael T Mccormack | Speech-Language Pathologist | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2008-10-31 |
| 1144431917 | Michael F Mccormack | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-05-24 |
| 1922135136 | Michael Patrick Mccormack | Plastic Surgery | 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 | 2007-02-27 |
| 1114934676 | Michael Timothy Mccormack | Internal Medicine | 1940 Alcoa Hwy, Suite E-210, Knoxville, TN 37920-2244 | 2006-08-01 |
| Street Address |
42 E LAUREL RD SUITE 3600 |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708067 | Donald R Noll | Internal Medicine | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2005-08-25 |
| 1598366528 | Lauren Danzi Brumley | Psychologist | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-11-05 |
| 1144845215 | Nicole Mcandrew | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Suite 2600, Stratford, NJ 08084-1354 | 2020-06-14 |
| 1710502919 | Sindhu Krishna Marampudi | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1891310025 | Valentina Leeann Delsignore | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1639791239 | Chelsea Kilmer | Case Manager/Care Coordinator | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-05-18 |
| 1588293419 | Katee M O'malley | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-04-02 |
| 1114553500 | Zachary Manna | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-03-17 |
| 1285295485 | Timsal Ghani | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
| 1548821606 | Whitney Kelly | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1306054838 | Navnit S. Mitter | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
| 1942418355 | Paula K Berry | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518086768 | Dr. Pizarro Associates, PC | Medical Genetics, Ph.D. Medical Genetics | 562 W Side Ave, Jersey City, NJ 07304-1618 | 2007-03-28 |
| 1780737312 | Central Medical Associates LLC | Medical Genetics, Ph.D. Medical Genetics | 250 Central Ave, Jersey City, NJ 07307-3011 | 2007-01-18 |
| 1780734764 | General Health Clinic Management | Medical Genetics, Ph.D. Medical Genetics | 7511 Bergenline Ave, North Bergen, NJ 07047-5459 | 2007-01-11 |
| 1548321888 | Oscar N Pizarro | Medical Genetics, Ph.D. Medical Genetics | 1265 Paterson Plank Rd Ste 2a, Secaucus, NJ 07094-3242 | 2006-12-12 |
| 1619046018 | Midland Medical Associates, LLC | Medical Genetics, Ph.D. Medical Genetics | 2726 Kennedy Boulevard, Jersey City, NJ 07306-5508 | 2006-11-07 |
| 1891894598 | Nancy Burleigh Gallina | Medical Genetics, Ph.D. Medical Genetics | 541 Cedar Hill Avenue, Wyckoff, NJ 07481 | 2006-09-21 |
| 1841209285 | Grace Becz | Medical Genetics, Ph.D. Medical Genetics | 338 Union Ave, Rutherford, NJ 07070-1563 | 2006-08-05 |
| 1255363032 | Edison Anesthesia At Oak Tree L.L.C. | Medical Genetics, Ph.D. Medical Genetics | 3848 Park Ave, Edison, NJ 08820-2508 | 2006-07-06 |
| 1033157540 | Alfredo Tutiven | Medical Genetics, Ph.D. Medical Genetics | 189 Walnut St, Newark, NJ 07105-1215 | 2006-06-04 |
| 1821066226 | Family Phicians of Hunterdon County | Medical Genetics, Ph.D. Medical Genetics | 403 Highway 202, Suite 100, Flemington, NJ 08822-6037 | 2006-03-10 |
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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.