JODIE BLACK (NPI# 1194227207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194227207 |
| Entity Type | Individual |
| Full Name | JODIE BLACK |
| Credential | CRNP |
| Practice Address |
100 Black Horse Pike Audubon NJ 08106-1950 |
| Practice Telephone | 8445422273 |
| Mailing Telephone | 8445422273 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26NJ00805900 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | SP018556 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 E Laurel Rd, Stratford, NJ 080841301 | 8445422273 |
| Street Address |
100 BLACK HORSE PIKE |
| City | AUDUBON |
| State | NJ |
| Zip Code | 08106-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013964576 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 100 Black Horse Pike, Audubon, NJ 08106 | 2006-05-30 |
| 1417468869 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-10-12 |
| 1871039180 | Kennedy Medical Group Practice P.C. | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-01-10 |
| 1609230218 | Tiffany Franchetti | Pharmacist | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2016-04-09 |
| 1568823128 | Kara Menard | Pharmacist | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2016-03-10 |
| 1548635477 | Megan Ann Brody | Physician Assistant | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2015-12-03 |
| 1336240100 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558897900 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Payson Ave, Audubon, NJ 08106 | 2017-05-04 |
| 1447798608 | Jersey Vision Center | Optometrist | 130 Blackhorse Pike, Audubon, NJ 08106 | 2017-02-08 |
| 1154776920 | Vanessa Andricola | Pharmacist | Rte 168 and Black Horse Pike, Audubon, NJ 08106 | 2016-04-29 |
| 1679709653 | Michelle L. Richardson | Social Worker | 730 S White Horse Pike, Audubon, NJ 08106 | 2009-06-04 |
| 1346457397 | Audubon Oral Health Center | Dentist | 100 Blackhorse Pike, Suite D-4, Audubon, NJ 08106 | 2007-05-17 |
| 1356431522 | Rosario Charles Patti | Podiatrist | 267 South White Horse Pike, Audobon, NJ 08106 | 2006-10-16 |
| 1144318858 | Francis Lopes | Family Medicine | 141 S White Horse Pike, Audubon, NJ 08106 | 2006-10-10 |
| 1285732107 | Jeffrey H. Mcgunnigle, P.C. | Chiropractor | 510 S. White Horse Pike, Audubon, NJ 08106 | 2006-09-21 |
| 1952410458 | Indrani Sen Hightower | Psychiatry & Neurology | 739 South White Horse Pike, Suite 1, Audubon, NJ 08106 | 2006-08-29 |
| 1649219478 | Armando Antonio Montiel | Internal Medicine | 23 N White Horse Pk, Audubon, NJ 08106 | 2006-06-06 |
| Find all providers in zip 08106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063689131 | Audubon Acupuncture Inc | Family Medicine | 6000 Shannondell Dr, Audubon, PA 19403-5639 | 2008-05-08 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1144318858 | Francis Lopes | Family Medicine | 141 S White Horse Pike, Audubon, NJ 08106 | 2006-10-10 |
| 1205931797 | William H Bromley II | Family Medicine | 726 S White Horse Pike, Suite 2, Audubon, NJ 08106-1326 | 2006-09-13 |
| 1194748277 | Natu Patel Md PC | Family Medicine | 2792 Egypt Rd, Audubon, PA 19403-2255 | 2006-07-26 |
| 1003847518 | Natu R Patel | Family Medicine | 2792 Egypt Road, Audubon, PA 19403-2255 | 2006-07-05 |
| 1508807330 | Nilesh V. Patel | Family Medicine | 2793 Egypt Rd, Suite 409, Audubon, PA 19403-2254 | 2006-06-10 |
| 1316905888 | Terry L Sprague | Family Medicine | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025 | 2006-05-03 |
| 1770577900 | Dana Burkholder | Family Medicine | 20000 Shannondell Dr, Audubon, PA 19403 | 2005-09-02 |
| 1871039180 | Kennedy Medical Group Practice P.C. | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-01-10 |
| Find all providers in AUDUBON | ||||
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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.