PEDIATRIC GASTROENTEROLOGY CENTER (NPI# 1942666177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942666177 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GASTROENTEROLOGY CENTER |
| Practice Address |
901b Route 73 N Marlton NJ 08053-1226 |
| Practice Telephone | 8565967225 |
| Practice Fax Number | 8565966655 |
| Mailing Telephone | 8565967225 |
| Mailing Fax Number | 8565966655 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | CELIA PADRON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8565967225 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
25MA05448300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
901B ROUTE 73 N |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977418 | Melissa Anne Miles | Speech-Language Pathologist | 901b Route 73 N, Marlton, NJ 08053 | 2006-06-07 |
| 1689147225 | Carly Taglienti | Speech-Language Pathologist | 901b Route 73 N, Marlton, NJ 08053-1226 | 2019-01-07 |
| 1184161051 | Krysta Knauss | Speech-Language Pathologist | 901b Route 73 N, Marlton, NJ 08053-1226 | 2017-01-30 |
| 1174971030 | Amy L Hay | Clinic/Center | 901b Route 73 N, Marlton, NJ 08053-1226 | 2016-06-01 |
| 1811394703 | Katerina Christodoulou | Music Therapist | 901b Route 73 N, Marlton, NJ 08053-1226 | 2014-11-20 |
| 1356644827 | Speech Path Services LLC | Speech-Language Pathologist | 901b Route 73 N, Marlton, NJ 08053-1226 | 2010-12-06 |
| 1780800599 | Better Speech and Feeding Center Inc | Speech-Language Pathologist | 901b Route 73 N, Marlton, NJ 08053-1226 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419377 | Gary Alan Herman | Pediatrics | 45 Arreton Rd, Princeton, NJ 08540-1427 | 2015-06-15 |
| 1487972659 | Jeannette Rose Gonzalez Simon | Pediatrics | 19 Hathaway Ln, Verona, NJ 07044-2306 | 2010-05-12 |
| 1902123615 | Melissa Weidner | Pediatrics | 51 French St, Meb-303, New Brunswick, NJ 08901-1921 | 2010-04-21 |
| 1851537146 | Jay Barth | Pediatrics | 550 Warwick Ave, Teaneck, NJ 07666-2927 | 2008-12-17 |
| 1225290919 | Khadija T Toor | Pediatrics | 38 Meadowlands Pkwy Ste 205, Secaucus, NJ 07094-2925 | 2008-06-25 |
| 1720265234 | Mohini Gautam Patel | Pediatrics | 100 Madison Ave Fl 2, Goryeb Children's Hospital At Morristown Medical Center, Morristown, NJ 07960-6136 | 2008-01-28 |
| 1265643068 | Katherine Atienza Orellana | Pediatrics | 155 Polifly Rd Ste 102, Hackensack, NJ 07601-1771 | 2007-05-24 |
| 1649484791 | Rupinder K Gill | Pediatrics | Mob 3, Saint Peter's University Hospital, New Brunswick, NJ 08901 | 2007-05-09 |
| 1356336960 | Kathleen Graham Lomax | Pediatrics | 1 Health Plz, Building 125/3434a, East Hanover, NJ 07936-1016 | 2005-09-20 |
| 1578557344 | Martin Daniel Fried | Pediatrics | 3200 Sunset Ave, Suite 100, Ocean, NJ 07712-4567 | 2005-09-07 |
| 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.