EMILY ROSE KOSSIFOS (NPI# 1861046575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046575 |
| Entity Type | Individual |
| Full Name | EMILY ROSE KOSSIFOS |
| Practice Address |
200 Tuckerton Rd Ste 17 Medford NJ 08055-8806 |
| Mailing Address |
58 Berry Cir Mertztown PA 19539-9332 |
| Mailing Telephone | 4845991214 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01870200 | NJ | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Tuckerton Rd # 117, Medford, NJ 080558806 | ||
| 200 Tuckerton Rd Ste 17, Medford, NJ 080558806 |
| Street Address |
200 TUCKERTON RD STE 17 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124411202 | Daniel Robert Pinto | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2015-03-12 |
| 1093313710 | Timothy Richard Salkowski | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2020-10-14 |
| 1801429980 | Saqib Habib | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2020-02-18 |
| 1144780115 | Asha Pandey-smith | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2019-03-25 |
| 1548788920 | Justin Andronico | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2017-09-06 |
| 1528584174 | Kelsey Jurist | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2017-08-16 |
| 1801343637 | Linh T Nguyen | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2016-09-09 |
| 1043687031 | Brandon Fredhoff | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2015-08-26 |
| 1538556543 | Christopher Desalvo | Acupuncturist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042533 | Angela J Bailey & Associates, Inc | Clinic/Center | 446 Granny Rd, Medford, NY 11763-1647 | 2019-09-16 |
| 1942672142 | Connected Physical Therapy | Clinic/Center | 2627 Siskiyou Blvd Ste 102, Medford, OR 97504-8188 | 2015-10-27 |
| 1831579226 | Center of Orthopedic Rehabilitation & Exercise, LLC | Clinic/Center | 771 W Stewart Ave Ste 103, Medford, OR 97501-4001 | 2015-06-01 |
| 1245413202 | Anders Incorporated | Clinic/Center | 2368 Crater Lake Ave Ste 103, Medford, OR 97504-5006 | 2007-12-13 |
| 1336352541 | Hammonton Orthopedic and Sports Physical Therapy | Clinic/Center | 620 A Stokes Road, Medford, NJ 08055 | 2007-05-07 |
| 1932209251 | Shafa Physical Therapy | Clinic/Center | 196 Boston Ave, Suite 2200, Medford, MA 02155-4236 | 2006-09-25 |
| 1790273621 | One Body Physical Therapy and Sports Rehab | Clinic/Center | 38 Sunset Trl, Medford, NJ 08055-2812 | 2018-04-26 |
| 1164872669 | Illari Physcial Therapy P.C. | Clinic/Center | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2016-06-15 |
| 1760764484 | 3 Dimensional Physical Therapy | Clinic/Center | 175 Route 70, Suite 19, Medford, NJ 08055-2300 | 2011-09-20 |
| 1871786327 | Professional Rehab P.t., P.C. | Clinic/Center | 700 Patchogue Yaphank Rd Ste 49, Medford, NY 11763-2239 | 2007-08-19 |
| Find all providers in MEDFORD | ||||
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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.