INTEGRATED FAMILY MEDICINE, LLC (NPI# 1144312703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144312703 |
| Entity Type | Organization |
| Organization Name | INTEGRATED FAMILY MEDICINE, LLC |
| Practice Address |
94 Brick Rd Suite 105 Marlton NJ 08053-2179 |
| Mailing Address |
701 Cooper Rd Suite 16 Voorhees NJ 08043-3800 |
| Practice Telephone | 8569880444 |
| Mailing Telephone | 8567835000 |
| Mailing Fax Number | 8567835041 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | DR. ROBERT A DAVIS (PRESIDENT) |
| Authorized Official Telephone | 8567835000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MB05704400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
94 BRICK RD SUITE 105 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430159 | Gene J Martin | Dentist | 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 | 2005-10-06 |
| 1013183169 | Sleepcare Center, Inc. | Specialist | 94 Brick Rd, Ste: 103, Marlton, NJ 08053-2179 | 2008-05-07 |
| 1124150099 | Integrated Family Medicine | Family Medicine | 94 Brick Rd, Suite 105, Marlton, NJ 08053-2179 | 2007-03-09 |
| 1689628604 | Porter, Martin, Salman, P.a. | Dentist | 94 Brick Rd, West Jersey Medical Plaza Ste. 100, Marlton, NJ 08053-2179 | 2006-05-22 |
| 1720068851 | Robert Davis | Family Medicine | 94 Brick Rd, Suite 105, Marlton, NJ 08053-2179 | 2006-01-17 |
| 1619965407 | Bradford J. Porter | Dentist | 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 | 2005-10-06 |
| 1326036120 | Kenneth M Goldberg | Dentist | 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
| 1396286597 | Melissa Maxine Gonzalez | Family Medicine | 1300 Highway 35 Unit 101, Ocean, NJ 07712-3533 | 2017-03-20 |
| 1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
| 1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
| 1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
| 1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
| 1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
| 1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
| 1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
| 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.