DR. LAURA BERTOLINO (NPI# 1083975858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083975858 |
| Entity Type | Individual |
| Full Name | DR. LAURA BERTOLINO |
| Credential | D.O. |
| Practice Address |
175 Madison Ave Mount Holly NJ 08060-2038 |
| Practice Telephone | 6099146000 |
| Mailing Telephone | 6099146000 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | OS018070 | PA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 25MB09881200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
175 MADISON AVE |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125016 | Virtua Memorial Hospital of Burlington County, Inc. | General Acute Care Hospital | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2005-06-24 |
| 1912545294 | Stephanie Waldron | Hospitalist | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2019-12-17 |
| 1922643394 | Lillian Lau | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-11-09 |
| 1407403728 | Osvaldo Martinez | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-21 |
| 1386290989 | Zyril Carilo | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-11 |
| 1013577345 | Amanda Stevenson | Dietitian, Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-06-18 |
| 1245708742 | Nicholas Belevich | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-11-02 |
| 1922587401 | Caralynn Marie Arena | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2018-08-07 |
| 1154826634 | Mending Hands Surgical Assisting, LLC | Registered Nurse | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-03-27 |
| 1881104917 | Sasha Johnson | Nurse Practitioner | 175 Madison Ave, Mount Holly, NJ 08060 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023416708 | Gastonia Physician Services, Pllc | Emergency Medicine | 451 East Charlotte Avenue, Mount Holly, NC 28120-2211 | 2014-12-12 |
| 1235585050 | Hyunjeong Lee | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2016-05-11 |
| 1407219868 | Samuel Aryeh Schiff | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-4824 | 2016-04-03 |
| 1447613849 | Christopher Bernard Ponce | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2016-04-01 |
| 1255727954 | David Felheimer Goldberg | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2015-04-09 |
| 1831539568 | Emergency Physician Services of New Jersey,professional Association | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2013-06-26 |
| 1235438813 | Joseph Hassab | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2011-03-22 |
| 1609087733 | Keith Joseph Kuhfahl | Emergency Medicine | 175 Madison Ave, Emergency Department, Mount Holly, NJ 08060-2038 | 2007-05-24 |
| 1134217607 | Ronak A Patel | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2006-10-10 |
| 1023117165 | Ali Price | Emergency Medicine | 175 Madison Ave, Mount Holly, NJ 08060 | 2006-09-22 |
| Find all providers in MOUNT HOLLY | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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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.