DR. CHARRELL MOYO BIRD (NPI# 1184701369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701369 |
| Entity Type | Individual |
| Full Name | DR. CHARRELL MOYO BIRD |
| Other Name | DR. CHARRELL MOYO BULLARD |
| Credential | MD |
| Practice Address |
1505 W Sherman Ave Pediatrix Medical Group Vineland NJ 08360-7059 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 8568450100 |
| Practice Fax Number | 3026514945 |
| Mailing Telephone | 3026514200 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA09387400 | NJ | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD424309 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1018646620001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Mullica Hill Road, National Park, NJ 08063 | 8565081000 |
| Street Address |
1505 W SHERMAN AVE PEDIATRIX MEDICAL GROUP |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649879 | Joseph Paul Yampaglia | Anesthesiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2005-06-20 |
| 1699392977 | Tahia Sandra Hossain | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-07-02 |
| 1386264133 | Kimberly M Moy | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-22 |
| 1447870464 | David Kline | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-20 |
| 1245850395 | Rebecca Lee | Pharmacist | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-18 |
| 1457970931 | Andrew Coppa | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-14 |
| 1174142822 | Hayley Norian | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1295354058 | Kaitlyn Brower Dressman | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1851910608 | Muhammad Sheheryar Rizwan | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-12 |
| 1790304798 | Christopher Debord | Clinic/Center | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409146 | Michael Alexander Friedman | Pediatrics | Inspira Medical Center Vineland, 1505 West Sherman Avenue, Vineland, NJ 08360 | 2006-04-27 |
| 1881673903 | Vicky Fiedler | Pediatrics | 1505 West Sherman Avenue, Inspira Medical Center Vineland, Vineland, NJ 08060 | 2006-01-17 |
| 1174773204 | Ollmc Neonatal Associates | Pediatrics | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2008-09-25 |
| 1275793507 | Noeet Elitsur | Pediatrics | 2950 College Dr, Suite #2b - S. Jersey Healthcare Bldg, Vineland, NJ 08360-6933 | 2008-06-10 |
| 1528047578 | Muhammad Usman Anwar | Pediatrics | 1505 W. Sherman Ave., Vineland, NJ 08360-6912 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1427398536 | Aelia Inc | Pediatrics | 405 Gregory Rd, Paramus, NJ 07652-2117 | 2013-02-26 |
| 1376782060 | Midatlantic Neonatology Associates | Pediatrics | 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 | 2009-02-19 |
| 1952571515 | John Freddy Ladino | Pediatrics | 100 Madison Ave # 85, Morristown, NJ 07960-6136 | 2008-03-10 |
| 1205040425 | Fawaz Kashlan | Pediatrics | 5 Springhouse Rd, Ocean, NJ 07712-3727 | 2007-05-09 |
| 1134243389 | Robert L Simon | Pediatrics | 34 Cedar Ln, Bridgeton, NJ 08302-7152 | 2007-03-16 |
| 1902938988 | Chung J Peng | Pediatrics | 1 Blackberry Ln, North Caldwell, NJ 07006-4170 | 2007-03-12 |
| 1285701094 | Mary Beth Browne | Pediatrics | 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 | 2006-11-29 |
| 1922182310 | Judy G Saslow | Pediatrics | One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 | 2006-10-24 |
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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.