PATIENT FIRST MARYLAND PHYSICIANS GROUP, P.C. (NPI# 1609280999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609280999 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST MARYLAND PHYSICIANS GROUP, P.C. |
| Other Organization Name | PATIENT FIRST - WOODBURY |
| Practice Address |
630 Mantua Pike Woodbury NJ 08096-3233 |
| Mailing Address |
Po Box 758952 Baltimore MD 21275-8952 |
| Practice Telephone | 8568122220 |
| Practice Fax Number | 8568122221 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MR. GEORGE H. MORISON (PRESIDENT) |
| Authorized Official Telephone | 8049685700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Patient First - Woodbury | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174994701 | Patient First Maryland Physicians Group, P.C. | Non-Pharmacy Dispensing Site | 4000 Route 130, Building C, Delran, NJ 08075-2414 | 2015-10-08 |
| 1134598709 | Patient First Maryland Physicians Group, P.C. | Family Medicine | 4000 Route 130 N., Building C, Delran, NJ 08075-2414 | 2015-09-24 |
| 1043689458 | Patient First Maryland Physicians Group, P.C. | Non-Pharmacy Dispensing Site | 641 Us Highway Route 130, Hamilton, NJ 08691 | 2015-09-16 |
| 1720523202 | Patient First Maryland Physicians Group, P.C. | Non-Pharmacy Dispensing Site | 705 Haddonfield Berlin Rd, Voorhees, NJ 08043-3714 | 2016-12-20 |
| 1679940779 | Patient First Maryland Physicians Group, P.C. | Non-Pharmacy Dispensing Site | 606 Cross Keys Rd, Sicklerville, NJ 08081-9513 | 2015-08-25 |
| 1013390426 | Patient First Maryland Physicians Group, P.C. | Family Medicine | 606 Cross Keys Rd, Sicklerville, NJ 08081-9513 | 2015-07-02 |
| 1548643950 | Patient First Maryland Physicians Group, P.C. | Family Medicine | 641 Us Highway 130, Hamilton, NJ 08691-2101 | 2015-07-02 |
| 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 |
| 1336538701 | Patient First Maryland Physician Group, P.C. | Non-Pharmacy Dispensing Site | 630 Mantua Pike, Woodbury, NJ 08096-3233 | 2015-01-22 |
| 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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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747365 | Balsam Partners, Pllc | Family Medicine | 203 W High St # 24, Woodbury, TN 37190-1147 | 2017-01-23 |
| 1720271356 | Mona Parmar | Family Medicine | 10248 Grand Oaks Trl, Woodbury, MN 55129-4249 | 2007-08-27 |
| 1831317320 | East Metro Family Practice, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-04-23 |
| 1962578807 | Barbara J Roehl | Family Medicine | 75 W. Red Bank Ave, Woodbury, NJ 08096 | 2006-11-24 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1306924915 | James Ilko | Family Medicine | 1687 Woodlane Drive, Suite 102, Woodbury, MN 55125-3045 | 2006-11-01 |
| 1942237151 | Sandra Louise Coffin | Family Medicine | 8360 City Centre Dr, Suite 120, Woodbury, MN 55125-3381 | 2006-06-26 |
| 1700823713 | Jeff Todd | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-05-31 |
| 1205882438 | Emi Chiusano | Family Medicine | 875 Mantua Pike, Woodbury, NJ 08096-3337 | 2006-05-26 |
| 1659332021 | Mary L Ezzo | Family Medicine | 8675 Valley Creek Road, Woodbury, MN 55125-2337 | 2006-03-28 |
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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.