COSME ROLANDO PECCERELLI (NPI# 1487716361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487716361 |
| Entity Type | Individual |
| Full Name | COSME ROLANDO PECCERELLI |
| Credential | RPAC |
| Practice Address |
22 Walmart Plz Clinton NJ 08809 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 9088475272 |
| Mailing Telephone | 4845268046 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 006232 | NY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 25MP00178000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22 WALMART PLZ |
| City | CLINTON |
| State | NJ |
| Zip Code | 08809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679119879 | Whitney Garlick | Physical Therapist | 22 Walmart Plz, Clinton, NJ 08809-1263 | 2019-11-22 |
| 1174031975 | Gregory Eric Rosequist | Physical Therapist | 22 Walmart Plz, Clinton, NJ 08809-1263 | 2018-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394244 | Hunterdon Regional Community Health | Acupuncturist | 1738 Rt 31 Ste 204, Clinton, NJ 08809 | 2018-01-18 |
| 1356868236 | Gwendolyn Blake | Counselor | 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 | 2017-08-23 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1861882011 | Freedom House Inc | Clinic/Center | 2004 Route 31 North, Suite 2, Clinton, NJ 08809 | 2015-01-27 |
| 1689062952 | Ladan Abbasi | Nurse Practitioner | 1738 Route 31 North, Vein Institute of Hunterdon, Clinton, NJ 08809 | 2015-01-08 |
| 1508118027 | Robert Konowitz | Chiropractor | 1630 Route 31 North, Clinton, NJ 08809 | 2012-10-08 |
| 1881909232 | Jhansi Rani Poreddy | Pharmacist | 37 Old Route 22, Clinton, NJ 08809 | 2010-08-10 |
| 1306039110 | Cheryl H. Orenstein | Dentist | 1630 Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| 1356534184 | Aldo A Freda | Dentist | 1630 Route 31, State Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| Find all providers in zip 08809 | ||||
| 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 |
|---|---|---|---|---|
| 1700419041 | Alexander Sorokin Flecker | Physician Assistant | 200b Eager St, Clinton, MS 39056-4545 | 2020-02-14 |
| 1477190668 | Kimberly Mcraney Watson | Physician Assistant | 907 Oakhill Cir, Clinton, MS 39056-3743 | 2019-12-06 |
| 1649630229 | Elizabeth Atuya | Physician Assistant | 9135 Piscataway Rd Ste 102, Clinton, MD 20735-2548 | 2016-02-25 |
| 1780994376 | Karika Partilia Watkins-hill | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2010-10-15 |
| 1184860827 | George L Carter | Physician Assistant | 10215 Deep Creek Ct, Clinton, MD 20735-5833 | 2008-12-31 |
| 1356471767 | Ann Rebecca Bartholomew | Physician Assistant | 1407 N 2000 W Ste G, Clinton, UT 84015-8563 | 2007-03-06 |
| 1598827172 | Akosua Flora Amankwah Wright | Physician Assistant | 7501 Surratts Rd Ste 303, Clinton, MD 20735-3377 | 2006-12-13 |
| 1356447882 | Mark Goodrich | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-15 |
| 1467556787 | Melanie Decock Wilson | Physician Assistant | 2900 S 25th St Ste B2, Clinton, IA 52732-7250 | 2006-09-08 |
| 1740206630 | Kolleen Marchand | Physician Assistant | 1477 N 2000 W, Clinton, UT 84015-8638 | 2006-07-14 |
| Find all providers in CLINTON | ||||
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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.