STAFFORD MEDICAL PA (NPI# 1093052102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093052102 |
| Entity Type | Organization |
| Organization Name | STAFFORD MEDICAL PA |
| Practice Address |
1364 Route 72 W 2 Manahawkin NJ 08050-2485 |
| Mailing Address |
5626 Oberlin Dr 110 San Diego CA 92121-1705 |
| Practice Telephone | 6095973416 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA066536 | NJ | Suppliers |
| Street Address |
1364 ROUTE 72 W 2 |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665947 | Carey Penrod | Surgery | 1364 Route 72 W, Suite 5, Manahawkin, NJ 08050-2485 | 2005-08-09 |
| 1801224225 | Advocare, LLC | Surgery | 1364 Route 72 W, Suite 5, Manahawkin, NJ 08050-2485 | 2013-10-22 |
| 1417207747 | Heather Irene Herbst | Nurse Practitioner | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2012-09-13 |
| 1477849800 | Rachna Joshi | Internal Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2011-06-23 |
| 1164674016 | Manahawkin Chiropractic Associates, LLC | Chiropractor | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2008-10-22 |
| 1831237601 | Charles W. Werner | Internal Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2007-02-02 |
| 1912920158 | Unnati Tailor | Family Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2006-07-26 |
| 1558382457 | Stafford Medical, P.a. | Family Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2006-07-23 |
| 1225077456 | William Y.c. Hong | Internal Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2006-06-05 |
| 1679512891 | Jeffrey M. Lipper | Internal Medicine | 1364 Route 72 W, Manahawkin, NJ 08050-2485 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
| 1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
| 1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
| 1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
| 1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
| 1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
| Find all providers in zip 08050 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892483 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 547 Route 72 W, Manahawkin, NJ 08050-2821 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
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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.