MARIAM D OWEIS (NPI# 1164907507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164907507 |
Entity Type | Individual |
Full Name | MARIAM D OWEIS |
Credential | PA-C |
Practice Address |
401 Young Ave Ste 245 Moorestown NJ 08057-3132 |
Mailing Address |
4 Eves Dr Ste A100 Marlton NJ 08053-3126 |
Practice Telephone | 6092679400 |
Practice Fax Number | 6092679457 |
Mailing Telephone | 6092679400 |
Mailing Fax Number | 6092679457 |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00496400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 YOUNG AVE STE 245 |
City | MOORESTOWN |
State | NJ |
Zip Code | 08057-3132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043262751 | Syed Nadeem Ahsan | Anesthesiology | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2006-05-17 |
1568938991 | Jennifer M Metzger | Physician Assistant | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2018-10-24 |
1912482340 | Laura Ann Mccann | Physician Assistant | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2018-10-02 |
1629454376 | Kimberly M Winiarczyk | Physician Assistant | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2015-08-05 |
1528499555 | Andrew S Bergman | Specialist/Technologist | 401 Young Ave Ste 245, Moorestown, NJ 08057 | 2013-12-02 |
1841620127 | Lauren Gibbs | Counselor | 401 Young Ave Ste 245, Moorestown, NJ 08057 | 2013-11-22 |
1629282603 | Colleen Herten Thornton | Nurse Practitioner | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2007-05-09 |
1871640664 | Meenal Kulkarni Patil | Anesthesiology | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
Find all providers in zip 08057 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912482340 | Laura Ann Mccann | Physician Assistant | 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 | 2018-10-02 |
1902047020 | Patricia D Gitt | Physician Assistant | 401 Young Ave Ste 320, Moorestown, NJ 08057 | 2009-03-19 |
1669460705 | Raymond Rozanski | Physician Assistant | 110 Marter Ave, Suite 202, Moorestown, NJ 08057-3124 | 2005-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
Find all providers with the same taxonomy |
City | MOORESTOWN |
Zip Code | 08057 |
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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.