ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY (NPI# 1861464968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861464968 |
| Entity Type | Organization |
| Organization Name | ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY |
| Other Organization Name | UMDNJ SOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC NEUROLOGY |
| Practice Address |
42 East Laurel Road Udp, Suite 1800 Stratford NJ 08084 |
| Mailing Address |
Po Box 635 Bellmawr NJ 08099-0635 |
| Practice Telephone | 8565666843 |
| Practice Fax Number | 8565666419 |
| Mailing Telephone | 8565666706 |
| Mailing Fax Number | 8565662797 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER) |
| Authorized Official Telephone | 8567705729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7850506 | 05 | |
| NJ | RAILROAD MEDICARE | CH6815 | 01 |
| Other Name | Type Code |
|---|---|
| UMDNJ SOM NewJersey Institute for Successful Aging-Geriatric Neurology | Former Legal Business Name - Organization |
| Street Address |
42 EAST LAUREL ROAD UDP, SUITE 1800 |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765055 | Rowansom Dept of Family Practice | Family Medicine | 42 East Laurel Road, Udp, Suite 2100, Stratford, NJ 08084 | 2006-01-20 |
| 1508396276 | Dennis Anthony Debernardis | Student in an Organized Health Care Education/Training Program | 42 East Laurel Road, Suite 1700, Stratford, NJ 08084 | 2017-06-15 |
| 1881668846 | Rowansom Newjersey Institute for Successful Aging-geriatric Psychiatry | Psychologist | 42 East Laurel Road, Udp, Suite 1800, Stratford, NJ 08084 | 2006-02-15 |
| 1881666105 | Rowansom New Jersey Institute for Successful Aging | Internal Medicine | 42 East Laurel Road, Udp, 1800, Stratford, NJ 08084 | 2006-02-02 |
| 1366412306 | Rowansom Nmi Rehabilitation Medicine | Physical Medicine & Rehabilitation | 42 East Laurel Road, Udp, Suite 1700, Stratford, NJ 08084 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1558314997 | Neurological Specialist, P.C. | Psychiatry & Neurology | 99 Hawley Ln, Stratford, CT 06614-1202 | 2006-05-18 |
| 1922590884 | Rowansom Dept of Neurology | Psychiatry & Neurology | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2018-06-05 |
| 1710183314 | Yaniv Chen | Psychiatry & Neurology | 2590 Main St, 2nd Floor, Stratford, CT 06615-5838 | 2007-06-21 |
| 1306942933 | Valeria Serban | Psychiatry & Neurology | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2006-09-14 |
| 1598779670 | Sean Tomar Hubbard | Psychiatry & Neurology | 42 E Laurel Rd Ste 3500, Stratford, NJ 08084-1354 | 2006-07-27 |
| 1295762029 | Philip Barasch | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-27 |
| 1992731889 | Lawrence Beck | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-23 |
| 1508802935 | James Butler | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-22 |
| 1063458800 | Lisa Webb | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-21 |
| Find all providers in STRATFORD | ||||
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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.