DR. ANTOINETTE SPEVETZ (NPI# 1770699472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770699472 |
| Entity Type | Individual |
| Full Name | DR. ANTOINETTE SPEVETZ |
| Credential | M.D. |
| Practice Address |
1 Cooper Plz Critical Care Unit Camden NJ 08103-1461 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563422657 |
| Practice Fax Number | 8569688306 |
| Mailing Telephone | 8563422921 |
| Mailing Fax Number | 8569688499 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0047631 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MA04916400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 1160341 | 01 | |
| CIGNA | 1270717 | 01 | |
| HEALTHNET | 3K6059 | 01 | |
| NJ | 0093131 | 05 | |
| UNITED HEALTHCARE | 2621896 | 01 | |
| OXFORD | P3667772 | 01 | |
| AMERICHOICE | 001007847 | 01 | |
| HORIZON NJ HEALTH | 60021643 | 01 | |
| PA BLUE SHIELD | 1804768 | 01 | |
| RR MEDICARE | P00307378 | 01 | |
| AMERIHEALTH, KEYSTONE, IBC | 2640936000 | 01 | |
| UNIVERSITY HEALTHPLAN | 42467 | 01 |
| Street Address |
1 COOPER PLZ CRITICAL CARE UNIT |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1528442266 | Samson Zarbiv | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2015-07-13 |
| 1376951731 | Bhavi Patel | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-07-30 |
| 1427466010 | Edmond Sarkis | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-07-27 |
| 1699018911 | Shawana Hussain | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2013-04-04 |
| 1306107255 | Joshua Paul Pregnar | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2012-06-06 |
| 1285929901 | Nagendra Yadav Madisi | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2011-06-10 |
| 1871882258 | Adam Godfrey Green | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2011-04-06 |
| 1316176043 | Jason Lee Bartock | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2009-07-02 |
| 1972741635 | Mazen Pierre Kreidy | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2009-02-03 |
| 1679605554 | Cmc Department of Medicine Group Pa | Internal Medicine | 1 Cooper Plz, Critical Care, Camden, NJ 08103-1461 | 2007-03-09 |
| 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.