Carl Bifano (NPI# 1124076500, PAC ID# 4789861634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1124076500 |
| PAC ID by PECOS | 4789861634 |
| Professional Enrollment ID | I20110602000293 |
| Full Name | Carl Bifano |
| Organization Legal Name | COOPER SURGICAL ASSOCIATES, PA |
| Address |
2 Plaza Dr Suite 203 Sewell NJ 08080-9207 |
| Phone Number | 8562704150 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 3274430764 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Plaza Dr, Suite 203, Sewell, NJ 08080-9207 | 8562704150 | COOPER SURGICAL ASSOCIATES, PA |
| Organization Legal Name | COOPER SURGICAL ASSOCIATES, PA |
| Physicians | 155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Odneal Marinoff | Occupational Therapy | Cooper Surgical Associates, Pa | 6017 Main St, Voorhees, NJ 08043-4659 |
| Vivian Jolley Bea | Surgical Oncology | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 104, Camden, NJ 08103-1407 |
| Steven C Bonawitz | Plastic and Reconstructive Surgery | Cooper Surgical Associates, Pa | 6200 Main St, Voorhees, NJ 08043-4629 |
| Nicholas Caputo | Physical Therapy | Cooper Surgical Associates, Pa | 6225 Main St, Voorhees, NJ 08043-4629 |
| Katharine R Hommes | Nurse Practitioner | Cooper Surgical Associates, Pa | 1210 Brace Rd, Cherry Hill, NJ 08034-3213 |
| Joan M Jerrido | Podiatry | Cooper Surgical Associates, Pa | 2 Plaza Dr, Suite 201, Sewell, NJ 08080-9207 |
| David H Clements Iii | Orthopedic Surgery | Cooper Surgical Associates, Pa | 401 S Kings Hwy, Suite 3a, Cherry Hill, NJ 08033 |
| Christopher Jon Bilbao | Neurosurgery | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 104, Camden, NJ 08103-1407 |
| Henry J Dolch Jr. | Orthopedic Surgery | Cooper Surgical Associates, Pa | 3 Cooper Plz, Camden, NJ 08103-1438 |
| David M Millili | Podiatry | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 403, Camden, NJ 08103-1438 |
| Street Address |
2 PLAZA DR SUITE 203 |
| City | SEWELL |
| State | NJ |
| Zip | 08080-9207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Jerrido | Podiatry | Cooper Surgical Associates, Pa | 2 Plaza Dr, Suite 201, Sewell, NJ 08080-9207 |
| Cyndi T Nguyen | Oral Surgery | Cooper Surgical Associates, Pa | 2 Plaza Dr, Bldg 2, Sewell, NJ 08080-9207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Mirsen | Neurology | Cmc Department of Medicine Group Pa | Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 |
| Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | |
| Kevin J Kargman | Pediatric Medicine | 438 Ganttown Rd, Suite A7, Sewell, NJ 08080-1886 | |
| Raymond A Ferrara | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| Jack Bondi | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| David O Phillips | Chiropractic | 432 Ganttown Rd, Suite 106, Sewell, NJ 08080-1895 | |
| Maria Morris | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Floriya Tkachuk Mattioli | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Joseph Cavallaro | Family Medicine | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| David M Ringel | Ophthalmology | David M. Ringel, Do Pa | 101 A Kings Way W, Sewell, NJ 08080-2233 |
| Find all physicians in zip 08080 | |||
| City | SEWELL |
| Zip Code | 08080 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SEWELL + MAXILLOFACIAL SURGERY |
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| 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.