DR. JAMES CHARLES DAMICO (NPI# 1457353088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457353088 |
| Entity Type | Individual |
| Full Name | DR. JAMES CHARLES DAMICO |
| Credential | DO |
| Practice Address |
1 Medford Leas Medford NJ 08055-2254 |
| Practice Telephone | 6096543427 |
| Practice Fax Number | 6096545519 |
| Mailing Telephone | 6096543427 |
| Mailing Fax Number | 6096545519 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MB64490 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7597703 | 05 | |
| NJ | MEDICARE ID | 527292 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760565907 | James Paul Damico | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2006-10-23 |
| Street Address |
1 MEDFORD LEAS |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387076 | Alyssa Galletta | Speech-Language Pathologist | 1 Medford Leas, Medford, NJ 08055-2254 | 2020-08-18 |
| 1871860908 | Lisa A Hartman | Dietitian, Registered | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-11-17 |
| 1508146861 | Ayesha J Ahmed | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-08-18 |
| 1629295852 | Joanne Salowe | Pharmacist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-19 |
| 1336364553 | Tammy Lynn Beckett | Occupational Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-14 |
| 1508080052 | Theresa A Widmann | Pharmacist | 1 Medford Leas, Pharmacy, Medford, NJ 08055-2254 | 2007-04-13 |
| 1649392531 | Kristen Edith Perkowski | Physical Therapist | 1 Medford Leas, Physical Therapy Dept., Medford, NJ 08055-2254 | 2007-04-04 |
| 1255457206 | Jean Marie Roland | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| 1124144548 | Donna M Sherman | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| 1215015656 | Janet H. Rumble | Nurse Practitioner | 1 Medford Leas, Medford, NJ 08055-2254 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1043714876 | Winchester Wound Care Specialists Pllc | Internal Medicine | 75 Riverside Ave Ste 4, Medford, MA 02155-4600 | 2018-03-19 |
| 1124387600 | John Retzlaff | Internal Medicine | 6959 Pineridge Dr, Medford, OR 97504-9234 | 2012-05-03 |
| 1144511643 | John Michael Malleis | Internal Medicine | 2859 State St Ste 102, Medford, OR 97504-8495 | 2011-05-02 |
| 1144543687 | Robert P. Williamson Md, P.C. | Internal Medicine | 43 Forest St, Medford, MA 02155-3128 | 2010-03-11 |
| 1104013572 | Cooper Physician Offices | Internal Medicine | 13 Tomlinson Rd, Medford, NJ 08055 | 2007-10-01 |
| 1629196381 | Robin Miller | Internal Medicine | 760 Golf View Dr, Medford, OR 97504-9685 | 2007-03-27 |
| 1225153042 | Stacey Sperling | Internal Medicine | Tufts University Health Svcs, Medford, MA 02155 | 2007-03-20 |
| 1790841666 | James Glass | Internal Medicine | 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772 | 2006-12-28 |
| 1235225129 | George Schultz | Internal Medicine | 2900 Doctors Park Dr Ste 200, Medford, OR 97504-8198 | 2006-10-05 |
| Find all providers in MEDFORD | ||||
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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.