PATRICK A ERVILUS (NPI# 1558369363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558369363 |
| Entity Type | Individual |
| Full Name | PATRICK A ERVILUS |
| Credential | NPC |
| Practice Address |
2809 River Rd Camden NJ 08105-4426 |
| Mailing Address |
405 W Country Club Dr Westampton NJ 08060-4741 |
| Practice Telephone | 8569668088 |
| Practice Fax Number | 8569668089 |
| Mailing Telephone | 6097025808 |
| Mailing Fax Number | 6097025809 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 26NN10322000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NN10322000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7523203 | 05 |
| Street Address |
2809 RIVER RD |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08105-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285820761 | River Primary Care Center, Inc | Registered Nurse | 2809 River Rd, Camden, NJ 08105-4426 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722016 | Christina Santos | Community Health Worker | 140 North 34 Street, Camden, NJ 08105 | 2016-11-17 |
| 1801276761 | Cramer Hill Home Care Inc. | Home Health | 3213-15 River Rd., Unit D, Camden, NJ 08105 | 2015-06-05 |
| 1053667097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2626 Federal St., Camden, NJ 08105 | 2012-07-27 |
| 1215241393 | Raghu Ram Inc | Pharmacy | 3703 Westfield Ave, Camden, NJ 08105 | 2010-08-02 |
| 1730324880 | Stenell Greene | Counselor | 2940 Waldorf Avenue, Apt A, Camden, NJ 08105 | 2008-12-03 |
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1407862378 | Ashokkumar Balubhai Patel | Family Medicine | 2827 Westfield Ave., Camden, NJ 08105 | 2006-07-31 |
| 1538126339 | Glenda Rabie | Family Medicine | 309 Marlton Ave, Camden, NJ 08105 | 2006-04-27 |
| 1699765354 | Danielle S. Nordone | Family Medicine | 3156 River Road, Cooper Family Medicine, PC, Camden, NJ 08105 | 2005-10-25 |
| 1851842207 | Viswa Prakash Varma Mantena | Pharmacist | 3213 River Rd, Camden, NJ 08105 | 2016-10-20 |
| Find all providers in zip 08105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| Find all providers in CAMDEN | ||||
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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.