VICTORIA DEMOSTHENE (NPI# 1154652352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154652352 |
| Entity Type | Individual |
| Full Name | VICTORIA DEMOSTHENE |
| Credential | RN, MSN, PMHNP-BC |
| Practice Address |
765 E Route 70 Suite A-100 Marlton NJ 08053-2341 |
| Practice Telephone | 8567974721 |
| Practice Fax Number | 8567974785 |
| Mailing Telephone | 8567974721 |
| Mailing Fax Number | 8567974785 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00275500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
765 E ROUTE 70 SUITE A-100 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467499186 | Gary Rosenberg | Psychiatry & Neurology | 765 E Route 70, Suite A-100, Marlton, NJ 08053-2341 | 2006-06-01 |
| 1881139251 | Lynn Kiernan | Social Worker | 765 E Route 70, Bldg A, Marlton, NJ 08053-2341 | 2016-12-21 |
| 1457801698 | Julie Cornelius | Counselor | 765 E Route 70, Marlton, NJ 08053-2341 | 2016-10-12 |
| 1982153334 | Marie Pierre | Registered Nurse | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2016-09-27 |
| 1962857847 | Alyssa Pirone | Social Worker | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2016-04-28 |
| 1851757306 | Megan Ault | Nurse Practitioner | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2016-01-13 |
| 1285099325 | Inpathy Behavioral Healthcare Group LLC | Psychiatry & Neurology | 765 E Route 70, Building A-100, Marlton, NJ 08053-2341 | 2015-12-16 |
| 1649645649 | Alisa B Miller | Social Worker | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2015-12-02 |
| 1124404348 | Nora Catherine Ciervo | Counselor | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2015-08-11 |
| 1649676305 | Michael A Zanotti | Nurse Practitioner | 765 E Route 70, Bldg. A, Marlton, NJ 08053-2341 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632520 | Folawewo Abiodun Ajayi | Nurse Practitioner | 750 Route 73 S Ste 105, Marlton, NJ 08053-4142 | 2020-02-24 |
| 1316570393 | Debra Aikens | Nurse Practitioner | 765 Route 70 E # Bdlga100, Marlton, NJ 08053-2341 | 2020-02-18 |
| 1104476381 | Bolaji Olatoun Bolarinwa | Nurse Practitioner | 750 Route 73 S Ste 105a, Marlton, NJ 08053-4142 | 2019-09-18 |
| 1942644786 | Natalie Carisa Eisenhower | Nurse Practitioner | 106 Centre Blvd Ste G, Marlton, NJ 08053-4131 | 2013-04-23 |
| 1598998783 | Diane Barbara Deblase | Nurse Practitioner | 765 E. Route 70 Bldg A, Center for Family Guidance, PC, Marlton, NJ 08053 | 2009-09-03 |
| 1962524983 | Kristen M Rone | Nurse Practitioner | 765 E Route 70 Bldg A, Marlton, NJ 08053-2341 | 2007-04-03 |
| 1740816602 | Monique Ruth Day | Nurse Practitioner | 765 Route 70 E Bldg A, Marlton, NJ 08053-2341 | 2020-03-22 |
| 1366088189 | Brandon L Reid | Nurse Practitioner | 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 | 2019-11-27 |
| 1588209035 | Macary Henry | Nurse Practitioner | 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 | 2019-11-07 |
| 1770125833 | Jennifer Anne O'brien | Nurse Practitioner | 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 | 2019-10-10 |
| Find all providers in MARLTON | ||||
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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.