JENNIFER SEPEDE (NPI# 1225441405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225441405 |
Entity Type | Individual |
Full Name | JENNIFER SEPEDE |
Credential | D.O. |
Practice Address |
100 Century Pkwy Ste 140 Mount Laurel NJ 08054-1149 |
Practice Telephone | (856) 380-2400 |
Practice Fax Number | 8562347870 |
Mailing Telephone | (856) 380-2400 |
Mailing Fax Number | 8562347870 |
Enumeration Date | 2014-06-05 |
Last Update Date | 2017-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 25MB09931400 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | MEDICARE ID | 574816ASD | 01 |
Street Address |
100 CENTURY PKWY STE 140 |
City | MOUNT LAUREL |
State | NJ |
Zip Code | 08054-1149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417186842 | Sophia S Khan | Family Medicine | 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054-1149 | 2009-07-07 |
1811441058 | Kristin Nicole Bertsch | Psychologist | 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054-1149 | 2016-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
Find all providers in zip 08054 |
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 |
---|---|---|---|---|
1649578071 | Cooper Family Medicine, PC | Family Medicine | 3820 Church Rd, Mount Laurel, NJ 08054-1106 | 2011-03-09 |
1417186842 | Sophia S Khan | Family Medicine | 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054-1149 | 2009-07-07 |
1366502908 | Regional Primary Care and Acupuncture | Family Medicine | 62 Hillside Ln, Mount Laurel, NJ 08054-4517 | 2006-12-12 |
1013931245 | Martin Polnerow | Family Medicine | Ramblewood Center, 1155 Rt.73 Ste. J, Mount Laurel, NJ 08054 | 2006-07-27 |
1881629178 | Randa Baher Foda | Family Medicine | 2000 Academy Dr, Mount Laurel, NJ 08054-2831 | 2006-07-12 |
1063455764 | Charles Francis Grabiak Jr. | Family Medicine | 3800 Church Rd, Mount Laurel, NJ 08054-1106 | 2006-06-13 |
1215979307 | Frank P Pettinelli | Family Medicine | 3814 Church Rd, Mount Laurel, NJ 08054-1106 | 2006-06-12 |
1659328094 | Bruneau Family Care PC | Family Medicine | 2963 Marne Hwy, Mount Laurel, NJ 08054-2036 | 2006-05-30 |
1952302259 | Jeffrey Charles Oppenheim | Family Medicine | 100 Century Pkwy, Suite 140, Mount Laurel, NJ 08054-1149 | 2005-08-09 |
1477881472 | Phoenix Medical Group | Family Medicine | 813 E Gate Dr, Suite B, Mount Laurel, NJ 08054-1238 | 2009-12-02 |
Find all providers in MOUNT LAUREL |
City | MOUNT LAUREL |
Zip Code | 08054 |
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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.