INITIA NOVA MEDICAL SOLUTIONS (NPI# 1215479308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215479308 |
Entity Type | Organization |
Organization Name | INITIA NOVA MEDICAL SOLUTIONS |
Practice Address |
1930 Marlton Pike E Cherry Hill NJ 08003-2150 |
Practice Telephone | 8564466961 |
Mailing Telephone | 8564466961 |
Enumeration Date | 2016-11-07 |
Last Update Date | 2016-11-07 |
Authorized Official Name | DR. PATRICK O SULLIVAN (OWNER) |
Authorized Official Telephone | 8566258563 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
25MB08239800 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1930 MARLTON PIKE E |
City | CHERRY HILL |
State | NJ |
Zip Code | 08003-2150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457356115 | Joellyn L Ross | Psychologist | 1930 Marlton Pike E, Ste J49, Cherry Hill, NJ 08003-4106 | 2005-06-17 |
1720586571 | Amber Ladorne Benziger | Counselor | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2018-01-26 |
1164944617 | Rachel Berson Carlton | Speech-Language Pathologist | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2017-07-15 |
1770022188 | Connect Our Hearts Counseling Services | Marriage & Family Therapist | 1930 Marlton Pike E, Suite K57, Cherry Hill, NJ 08003-2150 | 2017-02-17 |
1508309964 | Family Wellness Services | Psychiatry & Neurology | 1930 Marlton Pike E, J50, Cherry Hill, NJ 08003-2150 | 2016-12-02 |
1356883573 | Susan Gibbs | Counselor | 1930 Marlton Pike E, Suite M-68, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
1447706346 | Carey Young | Social Worker | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2016-08-30 |
1558712737 | Robin Baker | Speech-Language Pathologist | 1930 Marlton Pike E, Suite A4, Cherry Hill, NJ 08003-2150 | 2016-06-28 |
1033565536 | Amy Rossano & Associates, LLC | Occupational Therapist | 1930 Marlton Pike E, Suite A1, Cherry Hill, NJ 08003-2150 | 2016-05-13 |
1457711053 | Jodi Hope Feldman | Social Worker | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-2150 | 2016-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
Find all providers in zip 08003 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215312194 | Brace Medical Group LLC | Internal Medicine | 1417 Brace Rd, Cherry Hill, NJ 08034-3524 | 2015-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
1285674010 | Peter O Kuponiyi | Internal Medicine | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2006-06-08 |
1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
Find all providers with the same taxonomy |
City | CHERRY HILL |
Zip Code | 08003 |
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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.