GERDA AUGUSTIN (NPI# 1881628436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881628436 |
| Entity Type | Individual |
| Full Name | GERDA AUGUSTIN |
| Credential | MD |
| Practice Address |
321 Yale Ave Ste D Stratford NJ 08084-1247 |
| Mailing Address |
321 Yale Ave Suite D Stratford NJ 08084-1247 |
| Practice Telephone | 8566276101 |
| Practice Fax Number | 8566276103 |
| Mailing Telephone | 8566276101 |
| Mailing Fax Number | 8566276103 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MA07823800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD427933 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0063002 | 05 |
| Street Address |
321 YALE AVE STE D |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478417 | Brian Edward Nace | Behavioral Analyst | 321 Yale Ave Ste D, Stratford, NJ 08084-1247 | 2018-05-29 |
| 1659883031 | Amy Lynn Fabritz | Behavioral Analyst | 321 Yale Ave Ste D, Stratford, NJ 08084-1247 | 2017-10-25 |
| 1093124596 | Lauren Lirio | Behavioral Analyst | 321 Yale Ave Ste D, Stratford, NJ 08084-1247 | 2014-08-08 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
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| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.