STACY RUDERMAN (NPI# 1326595836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326595836 |
| Entity Type | Individual |
| Full Name | STACY RUDERMAN |
| Credential | PA |
| Practice Address |
200 Bowman Dr Suite 355 Voorhees NJ 08043-9623 |
| Mailing Address |
7000 Atrium Way Mount Laurel NJ 08054-3917 |
| Practice Telephone | 8564287700 |
| Practice Fax Number | 8562477511 |
| Mailing Telephone | 8562064508 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00409500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 BOWMAN DR SUITE 355 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692895 | Robert B Belafsky | Specialist | 200 Bowman Dr, Suite D-285, Voorhees, NJ 08043-9623 | 2005-07-13 |
| 1588214431 | Kevin Anthony Cross | Speech-Language Pathologist | 200 Bowman Dr, Voorhees, NJ 08043-9623 | 2019-09-12 |
| 1750820809 | Amy Benedetti-ashlock | Social Worker | 200 Bowman Dr, Suite E340, Voorhees, NJ 08043-9623 | 2017-02-21 |
| 1073055273 | Kelly Harchut | Physician Assistant | 200 Bowman Dr, Suite E355, Voorhees, NJ 08043-9623 | 2016-11-06 |
| 1346696945 | Theresa Robinson | Registered Nurse | 200 Bowman Dr, Suite 355, Voorhees, NJ 08043-9623 | 2016-05-12 |
| 1376903435 | Ryan Omalley | Nurse Practitioner | 200 Bowman Dr, Suite 355, Voorhees, NJ 08043-9623 | 2016-03-02 |
| 1144691767 | Abby Wheeler | Physician Assistant | 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043-9623 | 2015-10-08 |
| 1952709826 | Brittany Mclarney | Genetic Counselor, MS | 200 Bowman Dr, Ste D290, Voorhees, NJ 08043-9623 | 2014-12-09 |
| 1295131696 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043-9623 | 2014-11-12 |
| 1689073405 | Dana Giannetti | Audiologist | 200 Bowman Dr, Suite D285, Voorhees, NJ 08043-9623 | 2014-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1992116354 | Jason Goslin | Physician Assistant | 707 Haddonfield Berlin Rd Ste 101, Voorhees, NJ 08043 | 2014-05-19 |
| 1215369772 | Amrita A Phadnis | Physician Assistant | 113 South Route 73, Powerback Voorhees, Voorhees, NJ 08043 | 2013-08-06 |
| 1245501287 | Maureen Rachel Agnew | Physician Assistant | 6017 Main St, Voorhees, NJ 08043 | 2012-01-23 |
| 1992942122 | Sona Prajapati | Physician Assistant | 1302 Roberts Way, Voorhees, NJ 08043-2061 | 2009-01-09 |
| 1871593012 | Jennifer N Rogers | Physician Assistant | 707 White Horse Rd, Suite C103, Voorhees, NJ 08043-2461 | 2005-07-29 |
| 1265031470 | Cherie Marie Sloan | Physician Assistant | 2301 E Evesham Rd Ste 102-103, Voorhees, NJ 08043-4501 | 2020-10-19 |
| 1467002675 | Jillian Alyse Rooney | Physician Assistant | 200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 | 2019-09-19 |
| 1932665924 | Kavitha Rose Kolangaden | Physician Assistant | 100 Bowman Dr Fl 1, Voorhees, NJ 08043-9612 | 2019-02-14 |
| 1417428491 | Megan Linda Cass | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-12-17 |
| Find all providers in VOORHEES | ||||
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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.