ROWANSOM REPRODUCTIVE MEDICINE (NPI# 1184914301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184914301 |
| Entity Type | Organization |
| Organization Name | ROWANSOM REPRODUCTIVE MEDICINE |
| Practice Address |
42 E Laurel Rd Suite 2500 Stratford NJ 08084-1354 |
| Practice Telephone | 8565666272 |
| Practice Fax Number | 8565666146 |
| Mailing Telephone | 8565666272 |
| Mailing Fax Number | 8565666146 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8567705729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 8016745 | 01 |
| NJ | 0259136 | 05 | |
| NJ | AMERIHEALTH | 3830658000 | 01 |
| Street Address |
42 E LAUREL RD SUITE 2500 |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708067 | Donald R Noll | Internal Medicine | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2005-08-25 |
| 1598366528 | Lauren Danzi Brumley | Psychologist | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-11-05 |
| 1144845215 | Nicole Mcandrew | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Suite 2600, Stratford, NJ 08084-1354 | 2020-06-14 |
| 1710502919 | Sindhu Krishna Marampudi | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1891310025 | Valentina Leeann Delsignore | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1639791239 | Chelsea Kilmer | Case Manager/Care Coordinator | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-05-18 |
| 1588293419 | Katee M O'malley | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-04-02 |
| 1114553500 | Zachary Manna | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-03-17 |
| 1285295485 | Timsal Ghani | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
| 1548821606 | Whitney Kelly | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376970061 | Wesley Chodos | Obstetrics & Gynecology | 16 Sunflower Cir, Lumberton, NJ 08048-4862 | 2013-09-26 |
| 1467751255 | Thalia R Segal | Obstetrics & Gynecology | 296 Durie Ave, Closter, NJ 07624-2431 | 2011-03-20 |
| 1316137748 | Sher Institute for Reproductive Medicine | Obstetrics & Gynecology | 171 State Route 173, Ste 301, Asbury, NJ 08802 | 2007-08-01 |
| 1609086099 | Louis R. Manara D.o. | Obstetrics & Gynecology | 200a Route 73n, Voorhees, NJ 08043-9542 | 2007-05-23 |
| 1821217191 | Lauren Weissmann | Obstetrics & Gynecology | 400 Lippincott Dr Ste 130, Marlton, NJ 08053-4161 | 2007-04-25 |
| 1770638009 | University Reproductive Associates, P.C. | Obstetrics & Gynecology | 214 Terrace Ave, Hasbrouck Heights, NJ 07604-1815 | 2007-01-25 |
| 1770644783 | Mark Victor Sauer | Obstetrics & Gynecology | 125 Paterson St Ste 4200, New Brunswick, NJ 08901-1962 | 2006-12-13 |
| 1922181262 | Lorraine Carole King | Obstetrics & Gynecology | 12140 2nd Ave, Stone Harbor, NJ 08247-1057 | 2006-10-23 |
| 1720187347 | Jacquelyn Shaw | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-09-21 |
| 1245335652 | Zalman Levine | Obstetrics & Gynecology | 680 Kinder Kamack Rd, Suite 200, Oradell, NJ 07649 | 2006-09-13 |
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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.