Mark A Testaiuti (NPI# 1316919517, PAC ID# 7315830692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1316919517 |
| PAC ID by PECOS | 7315830692 |
| Professional Enrollment ID | I20041202000767 |
| Full Name | Mark A Testaiuti |
| Organization Legal Name | COASTAL SPINE PC |
| Address |
715 Fellowship Rd Suite A Mount Laurel NJ 08054-1052 |
| Phone Number | 8563164600 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 7416841424 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 8562224444139 | COASTAL SPINE PC |
| 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 | 8563164600 | COASTAL SPINE PC |
| Organization Legal Name | COASTAL SPINE PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott J Jarmain | Physical Medicine and Rehabilitation | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Samantha Sinead Mcdevitt | Physician Assistant | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Bernadette M Livewell | Physician Assistant | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Kamaldeep Singh Momi | Orthopedic Surgery | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Lawrence S Deutsch | Orthopedic Surgery | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Michael J Paul | Physical Medicine and Rehabilitation | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Wendi Ruddy | Nurse Practitioner | Coastal Spine PC | 4000 Church Rd, Mount Laurel, NJ 08054-1110 |
| Street Address |
715 FELLOWSHIP RD SUITE A |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| William Mitchell | Neurosurgery | 3829 Church Rd, Suite A, Mount Laurel, NJ 08054-1105 | |
| Eileen R Manabat | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | NEUROSURGERY |
| City + Specialty | MOUNT LAUREL + NEUROSURGERY |
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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.