DR. NICHOLAS L DEPACE (NPI# 1467496687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467496687 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS L DEPACE |
| Credential | MD |
| Practice Address |
438 Ganttown Rd Suites B8-b9 Sewell NJ 08080 |
| Mailing Address |
438 Ganttown Rd Suites B8-b9 Sewell NJ 08080-1887 |
| Practice Telephone | 8565896034 |
| Practice Fax Number | 8565896036 |
| Mailing Telephone | 8565896034 |
| Mailing Fax Number | 8565896036 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD023597E | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 25MA03627300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD023597E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA03627300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD023597E | PA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
25MA036273 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PERSONAL CHOICE | 0229598000 | 01 |
| NJ | 5264103 | 05 | |
| NJ | OXFORD | P3785506 | 01 |
| NJ | AETNA | 4100717 | 01 |
| NJ | UNITED HEALTHCARE | 530072 | 01 |
| NJ | HORIZON NJ HEALTH | 1048118 | 01 |
| NJ | KEYSTONE HEALTH PLAN EAST | 0229598000 | 01 |
| NJ | AMERIHEALTH | 0229598000 | 01 |
| NJ | AMERICHOICE | 01004610300 | 01 |
| NJ | GHI | 0154010 | 01 |
| Street Address |
438 GANTTOWN RD SUITES B8-B9 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254469 | William R. Cregar | Dentist | 438 Ganttown Rd, Suite B-2, Sewell, NJ 08080-2341 | 2005-09-07 |
| 1063836922 | John Edwin Sheppard | Dentist | 438 Ganttown Rd, Ste A6, Sewell, NJ 08080-2341 | 2014-02-13 |
| 1558636449 | Julius A. Mingroni, LLC | Hospitalist | 438 Ganttown Rd, Suite B4, Sewell, NJ 08080-2341 | 2012-03-12 |
| 1700166287 | David W Schellhorn | Respiratory Therapist, Registered | 438 Ganttown Rd, Suite A7, Sewell, NJ 08080-2341 | 2011-08-28 |
| 1619294170 | Optimo Physician Associates | Internal Medicine | 438 Ganttown Rd, Suite B-1, Sewell, NJ 08080-2341 | 2010-04-23 |
| 1619291085 | Intergrative Physician Consultant Group LLC | Acupuncturist | 438 Ganttown Rd, Suite B-1, Sewell, NJ 08080-2341 | 2010-03-15 |
| 1316199631 | Hamilton Physical Therapy Services | Durable Medical Equipment & Medical Supplies | 438 Ganttown Rd, Ste A-3, Sewell, NJ 08080-2341 | 2008-10-17 |
| 1407973977 | John E Sheppard Dds Pa | Dentist | 438 Ganttown Rd, Suite A6, Sewell, NJ 08080-2341 | 2007-03-22 |
| 1366582140 | Raymond A Ferrara | Podiatrist | 438 Ganttown Rd, Suite B4, Sewell, NJ 08080-2341 | 2007-02-08 |
| 1508906371 | Jack M Bondi | Podiatrist | 438 Ganttown Rd, Suite B4, Sewell, NJ 08080-2341 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1528050382 | Mario L Maiese | Internal Medicine | 539 Egg Harbor Rd, Ste 1, Sewell, NJ 08080-2371 | 2005-08-18 |
| 1346232105 | Surendra K Bagaria | Internal Medicine | 539 Egg Harbor Rd Ste 1, Lourdes Cardiology Services, P.C., Sewell, NJ 08080-2371 | 2005-08-18 |
| 1558353326 | Sivaraman Yegya-raman | Internal Medicine | 239 Hurffville Crosskeys Rd Ste 210, Sewell, NJ 08080-4003 | 2005-08-18 |
| 1659662732 | New Jersey Heart, Inc. | Internal Medicine | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2011-04-25 |
| 1205031614 | Ramneet Wadehra | Internal Medicine | 239 Hurffville Crosskeys Rd Ste 210, Sewell, NJ 08080-4003 | 2007-06-15 |
| 1851383483 | Howard M Weinberg | Internal Medicine | 239 Hurffville Crosskeys Rd Ste 210, Sewell, NJ 08080-4003 | 2005-08-19 |
| 1902898760 | Joshua M Crasner | Internal Medicine | 539 Egg Harbor Rd, #1 Washington Medical Arts Building, Sewell, NJ 08080-2371 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
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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.