PATIENT FIRST MARYLAND PHYSICIAN GROUP, P.C. (NPI# 1336538701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336538701 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST MARYLAND PHYSICIAN GROUP, P.C. |
| Other Organization Name | PATIENT FIRST WOODBURY |
| Practice Address |
630 Mantua Pike Woodbury NJ 08096-3233 |
| Mailing Address |
5000 Cox Rd Ste 100 Glen Allen VA 23060-9263 |
| Practice Telephone | 8568122220 |
| Practice Fax Number | 8568122221 |
| Mailing Telephone | 8048224383 |
| Mailing Fax Number | 8049650987 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MR. MARVIN WARREN BRIDGERS III (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8048224383 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA09608800 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Patient First Woodbury | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902349038 | Patient First Maryland Physician Group, P.C. | Non-Pharmacy Dispensing Site | 2171 Route 70 W, Cherry Hill, NJ 08002-2733 | 2016-11-21 |
| 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 |
| 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 |
| 1104007285 | Scott Matthew Edmondson | Physician Assistant | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2007-11-17 |
| 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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|---|---|---|---|---|
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| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1578597621 | 2 Right Feet Inc. | Non-Pharmacy Dispensing Site | 7961 Jericho Tpke, Woodbury, NY 11797-1210 | 2006-07-11 |
| 1871008003 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 9900 Tamarack Rd, Woodbury, MN 55125-3609 | 2017-12-11 |
| 1386159614 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2017-12-08 |
| 1568503795 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-02-09 |
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| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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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.