Jonathan T Wiseman (NPI# 1063548154, PAC ID# 9931388287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063548154 |
| PAC ID by PECOS | 9931388287 |
| Professional Enrollment ID | I20110119000927 |
| Full Name | Jonathan T Wiseman |
| Address |
129 Bridgeboro St Riverside NJ 08075-3201 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310061 | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 129 Bridgeboro St, Riverside, NJ 08075-3201 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 92% |
| Street Address |
129 BRIDGEBORO ST |
| City | RIVERSIDE |
| State | NJ |
| Zip | 08075-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle Christine Santarsiero | Physician Assistant | Nj Certified Dermatology PC | 905 S Chester Ave, Delran, NJ 08075-1271 |
| Sofiya Mirson | Internal Medicine | Jefferson University Physicians of New Jersey PC | 950 S Chester Ave, A, Delran, NJ 08075-1271 |
| Lutsiya S Pelimskaya | Internal Medicine | Jefferson University Physicians of New Jersey PC | 950 S Chester Ave, A, Delran, NJ 08075-1271 |
| Amy G Sheffield | Optometry | 1330 Fairview Blvd A, Delran, NJ 08075-1472 | |
| Jacquelyn M Kane | Chiropractic | 1361 Fairview Blvd, Suite H, Delran, NJ 08075-1473 | |
| Stephen Evan Kabel | Internal Medicine | 26 Haines Mill Rd, Delran, NJ 08075-1715 | |
| Suzanne H Shenk | Internal Medicine | Kennedy Medical Group Practice, P.C. | 8008 Route 130, Suite 120, Delran, NJ 08075-1869 |
| Karen S Harkaway | Dermatology | Karen S Harkaway Md LLC | 8001 Route 130 S, Delran, NJ 08075-1870 |
| Melody J Boudwin | Physician Assistant | Karen S Harkaway Md LLC | 8001 Route 130 S, Delran, NJ 08075-1870 |
| Hajeema Edman-sutton | Physician Assistant | Karen S Harkaway Md LLC | 8001 Route 130 S, Delran, NJ 08075-1870 |
| Find all physicians in zip 08075 | |||
| City | RIVERSIDE |
| Zip Code | 08075 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RIVERSIDE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan T Wiseman.
| 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.