MS. MARY ALLISON ENDICOTT (NPI# 1831482355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831482355 |
| Entity Type | Individual |
| Full Name | MS. MARY ALLISON ENDICOTT |
| Credential | PA-C |
| Practice Address |
1206 W Sherman Ave Vineland NJ 08360-6911 |
| Practice Telephone | 8566969933 |
| Practice Fax Number | 8566969939 |
| Mailing Telephone | 8566969933 |
| Mailing Fax Number | 8566969939 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00255200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1206 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703437 | Ear,nose and Throat Specialists,pc | Specialist | 1206 W Sherman Ave, Suite B2, Vineland, NJ 08360-6916 | 2006-03-14 |
| 1528424355 | Stephanie Aucello | Nurse Practitioner | 1206 W Sherman Ave, Vineland, NJ 08360-6911 | 2016-01-08 |
| 1992178438 | Fresenius Medical Care Vineland, LLC | Clinic/Center | 1206 W Sherman Ave, Vineland, NJ 08360-6911 | 2015-11-05 |
| 1972907772 | Allied Physicians of Sj | Internal Medicine | 1206 W Sherman Ave, Building 1 Suite A, Vineland, NJ 08360-6911 | 2014-10-22 |
| 1578963435 | Medical Alliance of Southern New Jersey PC | Internal Medicine | 1206 W Sherman Ave, Building1, Vineland, NJ 08360-6911 | 2014-08-28 |
| 1215059399 | Gordon Erwin Callender | Colon & Rectal Surgery | 1206 W Sherman Ave, Vineland, NJ 08360-6911 | 2007-04-06 |
| 1598826646 | Cumberland Medical Associates, P.a. | Internal Medicine | 1206 W Sherman Ave, Building 1, Vineland, NJ 08360-6916 | 2006-12-13 |
| 1497789077 | David Michael Wanalista | Internal Medicine | 1206 W Sherman Ave, Building 1, Vineland, NJ 08360-6916 | 2006-07-10 |
| 1891729372 | Michael Keith Dovnarsky | Internal Medicine | 1206 W Sherman Ave, Building 1, Vineland, NJ 08360-6916 | 2006-07-10 |
| 1316973563 | Donald Carl Huston Jr. | Internal Medicine | 1206 W Sherman Ave, Building 1, Vineland, NJ 08360-6916 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891158531 | John B Ferraro | Physician Assistant | 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 | 2016-03-31 |
| 1043597800 | Jayme N White | Physician Assistant | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2011-11-08 |
| 1033447792 | Danielle K Francis | Physician Assistant | 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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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.