UMDNJ SOM OPTI (NPI# 1285873802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285873802 |
| Entity Type | Organization |
| Organization Name | UMDNJ SOM OPTI |
| Practice Address |
42 E Laurel Rd Stratford NJ 08084-1354 |
| Mailing Address |
4 Buckingham Pl Cherry Hill NJ 08003-2664 |
| Practice Telephone | 8565666708 |
| Mailing Telephone | 6099803289 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | DR. JOANNE KAISER-SMITH (RESIDENCY DIRECTOR) |
| Authorized Official Telephone | 8565666845 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | Hospitals |
| Street Address |
42 E LAUREL RD |
| 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 | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104227990 | St. Michaels Medical Center | Chronic Disease Hospital | 927 Ridgewood Rd, Millburn, NJ 07041-1441 | 2014-09-11 |
| 1952749913 | Hackensack University Medical Center | Chronic Disease Hospital | 118 Charlton Ave # B, Hasbrouck Heights, NJ 07604-1508 | 2013-06-11 |
| 1851683700 | Np Medical Care LLC | Chronic Disease Hospital | 288 Greenridge Rd, Franklin Lakes, NJ 07417-2012 | 2011-05-11 |
| 1679879845 | Nassau Univ Med Center | Chronic Disease Hospital | 156 Notch Rd, Clifton, NJ 07013-3236 | 2011-02-04 |
| 1295996247 | Dr. James F. Mcanally | Chronic Disease Hospital | 240 Williamson St Ste 307, Elizabeth, NJ 07202-3672 | 2008-06-23 |
| 1710329917 | Saint Michael's Medical Center | Chronic Disease Hospital | 111 Central Ave, Cardiology Dept. Fifth Floor, Newark, NJ 07102-1909 | 2013-07-29 |
| 1780029108 | Palisades Medical Center | Chronic Disease Hospital | 7600 River Rd, North Bergen, NJ 07047-6217 | 2013-04-30 |
| 1457696924 | William Strazzella Do LLC | Chronic Disease Hospital | 20 Hospital Dr, Suite 17 B, Toms River, NJ 08755-6434 | 2012-12-10 |
| 1881965671 | Family Medicine At Monument Square | Chronic Disease Hospital | 317 George St, New Brunswick, NJ 08901-2008 | 2012-01-25 |
| 1598052557 | John Harry Lagonikos | Chronic Disease Hospital | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2011-06-28 |
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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.