INDEPENDENT GERIATRIC PROFESSIONALS OF NJ PC (NPI# 1194334870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194334870 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT GERIATRIC PROFESSIONALS OF NJ PC |
| Practice Address |
902 Jacksonville Rd Burlington NJ 08016-3858 |
| Mailing Address |
2500 Dekalb Pike Ste 301 East Norriton PA 19401-2007 |
| Practice Telephone | 6092393900 |
| Practice Fax Number | 6092393808 |
| Mailing Telephone | 4849659566 |
| Mailing Fax Number | 4849659567 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | WILLIAM VEMULA (PRESIDENT) |
| Authorized Official Telephone | 8562948435 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
902 JACKSONVILLE RD |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205859 | Masonic Charity Foundation of New Jersey | Skilled Nursing Facility | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2005-09-19 |
| 1811455496 | Andrea Valente | Social Worker | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2019-03-04 |
| 1144703471 | Rosemary Fox | Occupational Therapist | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2018-09-12 |
| 1316431240 | Independent Geriatric Professionals | Internal Medicine | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2018-06-14 |
| 1518481910 | Kori Hubbard | Occupational Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3846 | 2017-07-28 |
| 1659819183 | Caitlin Caruso | Physical Therapist | 902 Jacksonville Rd, Burlington, NJ 08016-3846 | 2017-02-03 |
| 1336595636 | Chadd Coles | Physical Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-05-05 |
| 1689020042 | Cindi Mcdonald | Occupational Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-05-04 |
| 1821443862 | Amanda Duncan | Specialist/Technologist | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-04-27 |
| 1700283876 | Masonic Home of New Jersey | Assisted Living Facility | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2014-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295141588 | Esther Kim | Hospitalist | Lahey Hospital & Medical Center 41 Mall Road, Burlington, MA 01805-5123 | 2014-07-07 |
| 1295266443 | Shawn Wayne | Hospitalist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-21 |
| 1982081493 | Caleb Doyle-burr | Hospitalist | 111 Colchester Ave, Burlington, VT 05401 | 2015-05-04 |
| 1114313905 | Gatha Geetha Nair | Hospitalist | 111 Colchester Ave, Mailstop 156sm2, Burlington, VT 05401 | 2015-04-08 |
| 1124413752 | Alexander Teng | Hospitalist | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805 | 2015-03-31 |
| 1063806206 | Umer Syed | Hospitalist | 111 Colchester Ave, Burlington, VT 05401 | 2015-03-25 |
| 1225422462 | Kara Klingman Landry | Hospitalist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-25 |
| 1003200551 | Elena Kozakewich | Hospitalist | 111 Colchester Ave, Uvm Medical Center, Dept of Internal Medicine, 222wp2, Burlington, VT 05401 | 2015-03-23 |
| 1699184671 | Fernando Velazquez Vazquez | Hospitalist | 252 Mchenry St, Burlington, WI 53105-1828 | 2014-08-04 |
| 1124445069 | Kevin Luke Leadholm | Hospitalist | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-1473 | 2014-03-27 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
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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.