MRS. BETSY FUMELUS (NPI# 1043417629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043417629 |
| Entity Type | Individual |
| Full Name | MRS. BETSY FUMELUS |
| Credential | PA |
| Practice Address |
3458 Neely Rd Trenton NJ 08641-5312 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 1866377277 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550340 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00178600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00178600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Young Ave Ste 275a, Moorestown, NJ 080573130 | 8562918855 | 8562918844 |
| Street Address |
3458 NEELY RD |
| City | TRENTON |
| State | NJ |
| Zip Code | 08641-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003675 | Brooke Ann Love | Physician Assistant | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2018-11-28 |
| 1083071112 | Lauren Ashley Foy | Physician Assistant | 3458 Neely Rd, Trenton, NJ 08641 | 2016-01-20 |
| 1760889976 | Anne Yvonne Maynard | Nurse Practitioner | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2014-12-03 |
| 1083017032 | Matthew D Schmitt | Psychologist | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2014-10-06 |
| 1679911515 | Elizabeth M Golden | Family Medicine | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2013-06-13 |
| 1326251273 | Mindy Leigh Davison | Pharmacist | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578122636 | Yuriy Y Dankulich | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-06-11 |
| 1508390071 | Zaneta Terepka | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2017-04-11 |
| 1427509710 | Alicia Campiglia | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2016-10-21 |
| 1477947588 | Tammy Vo-mota | Physician Assistant | 2275 W Jefferson Ave, Trenton, MI 48183-2114 | 2015-03-26 |
| 1417257502 | Jesse Elizabeth Pannell | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-10-24 |
| 1730498049 | Alicia Ann Schumacher | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-10-04 |
| 1477865160 | Genna Kara Kipnis | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-07-09 |
| 1245483650 | Joseph White | Physician Assistant | 1700 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3536 | 2008-10-29 |
| 1487740700 | Albert G Marian | Physician Assistant | 394 Bar Harbor Rd, Trenton, ME 04605-5807 | 2006-10-05 |
| 1386678001 | Curtis Kirby | Physician Assistant | 911 S Main St, Trenton, FL 32693-3239 | 2006-07-10 |
| Find all providers in TRENTON | ||||
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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.