Justin D Ditheodore (NPI# 1073836656, PAC ID# 3072640408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1073836656 |
| PAC ID by PECOS | 3072640408 |
| Professional Enrollment ID | I20100416000245 |
| Full Name | Justin D Ditheodore |
| Organization Legal Name | ADVANCED ORTHOPAEDIC CENTERS, PA |
| Address |
414 Tatum St Woodbury NJ 08096-3499 |
| Phone Number | 8568483880 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1153309059 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 414 Tatum St, Woodbury, NJ 08096-3499 | 8568483880 | ADVANCED ORTHOPAEDIC CENTERS, PA |
| Organization Legal Name | ADVANCED ORTHOPAEDIC CENTERS, PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline S Sonsini | Physical Therapy | Advanced Orthopaedic Centers, Pa | 159 Bridgeton Pike D, Mullica Hill, NJ 08062-2669 |
| Seth David Scholl | Physical Medicine and Rehabilitation | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Brian W Boockoff | Physician Assistant | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Thomas P Obade | Orthopedic Surgery | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Adam Md Sackstein | Interventional Pain Management | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| John W Graham | Physical Therapy | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Street Address |
414 TATUM ST |
| City | WOODBURY |
| State | NJ |
| Zip | 08096-3499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seth David Scholl | Physical Medicine and Rehabilitation | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Brian W Boockoff | Physician Assistant | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Thomas P Obade | Orthopedic Surgery | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Adam Md Sackstein | Interventional Pain Management | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| John W Graham | Physical Therapy | Advanced Orthopaedic Centers, Pa | 414 Tatum St, Woodbury, NJ 08096-3499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Burgess | Registered Dietitian Or Nutrition Professional | Sherwood Mews, Suite 831, West Deptford, NJ 08096 | |
| Christopher Hennessey | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Nicholas M Kaffl | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Evan D O'brien | Orthopedic Surgery | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Colin Lloyd Smith | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Charles Andrew Kistler | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Nicholas T Orfanidis | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Andrew Richard Dargan | Internal Medicine | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Aarati B Malliah | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Lisa R Rahaim | Nurse Practitioner | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Find all physicians in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WOODBURY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Justin D Ditheodore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.