DR. ERIC W. BANTZ (NPI# 1124172598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124172598 |
| Entity Type | Individual |
| Full Name | DR. ERIC W. BANTZ |
| Credential | M.D. |
| Practice Address |
103 Old Marlton Pike Ste 211 Medford NJ 08055-8772 |
| Practice Telephone | 6099537500 |
| Practice Fax Number | 6099539085 |
| Mailing Telephone | 6099537500 |
| Mailing Fax Number | 6099539085 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MA48238 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5312302 | 05 | |
| NJ | TRICARE PRIME PROVIDER ID | J017341 | 01 |
| NJ | OXFORD PROVIDER ID | P381888 | 01 |
| NJ | TAX ID# | 721570737 | 01 |
| NJ | AMERIHEALTH HMO PROVIDER | 0350808000 | 01 |
| NJ | 010003124010 | 05 | |
| NJ | AETNA PROVIDER ID | 3373326 | 01 |
| NJ | KEYSTONE INSURANCE ID | 147995 | 01 |
| NJ | HORIZON-MERCY | 60012703 | 01 |
| NJ | 83386 | 05 | |
| NJ | CIGNA PROVIDER # | 0811426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841432747 | Eric Alan Bantz | Chiropractor | 105 Westwood Dr, Marshalltown, IA 50158-5153 | 2009-03-24 |
| Street Address |
103 OLD MARLTON PIKE STE 211 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
| 1912904624 | Joel G Bleier | Allergy & Immunology | 1 City Hall Mall, Medford, MA 02155-4770 | 2005-07-07 |
| 1568465847 | Edward Kerwin | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2005-05-31 |
| 1467499475 | Kevin Wilson Parks | Allergy & Immunology | 3860 Crater Lake Ave, Suite A, Medford, OR 97504-9741 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437620739 | Alpha & Omega Cardiovascular Imaging LLC | Allergy & Immunology | 108 High St Ste 7, Hackettstown, NJ 07840-1936 | 2018-12-12 |
| 1003328824 | Core Medical Group, LLC | Allergy & Immunology | 256 Stuyvesant Ave Ste B, Lyndhurst, NJ 07071-1833 | 2017-11-02 |
| 1134639461 | Our Doctor In The House LLC | Allergy & Immunology | 400 Route 10 W Ste 1and2, Randolph, NJ 07869-2104 | 2017-09-30 |
| 1841438447 | Feryal Hajee | Allergy & Immunology | 34 Sycamore Ave Ste 1a, Little Silver, NJ 07739-1228 | 2009-02-04 |
| 1538311311 | Colin Reisner | Allergy & Immunology | 280 Headquarter Plaza, East Tower 2nd Floor, Morristown, NJ 07869-1828 | 2008-10-13 |
| 1275790016 | Neeta S Ogden M.d LLC | Allergy & Immunology | 974 Inman Ave Ste 1, Edison, NJ 08820-1177 | 2008-05-20 |
| 1891984969 | Angela S Salanitro | Allergy & Immunology | 176 Forest Ave, Glen Ridge, NJ 07028-2414 | 2007-10-15 |
| 1528272432 | Shashank S Sheth | Allergy & Immunology | 200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 | 2007-05-09 |
| 1104046838 | Allergy & Asthma of South Jersey | Allergy & Immunology | 1122 N High St, Millville, NJ 08332-2529 | 2007-04-26 |
| 1952427817 | Nirmala Basavanand | Allergy & Immunology | 419 Bethel Road, Somers Point, NJ 08244-2108 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.