ROBERT RUSSELL SUDOL (NPI# 1154424182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154424182 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSELL SUDOL |
| Credential | MD |
| Practice Address |
408 E Jimmie Leeds Rd Galloway NJ 08205-9706 |
| Practice Telephone | 6096526947 |
| Practice Fax Number | 6097489075 |
| Mailing Telephone | 6096526956 |
| Mailing Fax Number | 6097489075 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 48441 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1336309 | 05 |
| Street Address |
408 E JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483198 | Cecilia West | Nurse Practitioner | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2005-11-05 |
| 1235510587 | Erica Adams | Dietitian, Registered | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2015-06-12 |
| 1104255181 | Danielle Mcdevitt | Dietitian, Registered | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2013-11-11 |
| 1538407655 | Robert R R Sudol Md LLC | Specialist | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2013-01-24 |
| 1952604753 | Atlantic Dietitians LLC | Dietitian, Registered | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2010-12-16 |
| 1295966208 | Sandra D Roberts | Dietitian, Registered | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2009-08-07 |
| 1306054978 | Nancy E Sudol | Nurse Practitioner | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2007-05-18 |
| 1598734477 | Tracey A Hessert | Nurse Practitioner | 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205251048 | Atlantic Integrated Medicine, LLC | Internal Medicine | 319 E. Jimmie Leeds Road, Suite 603, Galloway, NJ 08205-4124 | 2014-03-04 |
| 1700191582 | Elena V Selina | Internal Medicine | 48 S New York Rd Ste B3, Galloway, NJ 08205-9676 | 2010-08-17 |
| 1366654022 | Maya Ramchand | Internal Medicine | 28 South New York Road, Suite C 4, Galloway, NJ 08205-9676 | 2007-05-04 |
| 1780771626 | Jeffrey Gong | Internal Medicine | 101 S New York Rd, Galloway, NJ 08205-9609 | 2006-10-10 |
| 1487661096 | Brian A Geraci | Internal Medicine | 408 Chris Gaupp Drive, Suite 100, Galloway, NJ 08205 | 2006-08-03 |
| 1295727576 | Smithville Medical Associates LLC | Internal Medicine | 28 S New York Rd, Suite C4, Galloway, NJ 08205-9695 | 2005-08-22 |
| 1912909953 | Claudia Prapawiwat | Internal Medicine | 5 E Jimmie Leeds Rd, Galloway, NJ 08205-9705 | 2005-08-10 |
| 1538513262 | Moomal Memon | Internal Medicine | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2016-04-19 |
| 1174786842 | Atlantic Primary Care PC | Internal Medicine | 72 W Jimmie Leeds Rd, Suite 2100, Galloway, NJ 08205-9406 | 2008-07-03 |
| 1932360658 | Nicholas Joseph Petruzzi | Internal Medicine | 44 E Jimmie Leeds Rd, Galloway, NJ 08205-9599 | 2008-06-25 |
| Find all providers in GALLOWAY | ||||
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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.