DR. MARK ANTHONY TESTAIUTI (NPI# 1316919517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316919517 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY TESTAIUTI |
| Credential | M.D. |
| Practice Address |
4000 Church Rd Mount Laurel NJ 08054-1110 |
| Practice Telephone | 8562224444 |
| Practice Fax Number | 8562224733 |
| Mailing Telephone | 8562224444 |
| Mailing Fax Number | 8562224733 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
25MA06223900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4000 CHURCH RD |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017460 | Scott Joseph Jarmain | Physical Medicine & Rehabilitation | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2006-01-16 |
| 1225666787 | Nicholas A Dellavecchia | Physical Therapist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2020-03-31 |
| 1952946188 | Tara Nicole Liska | Specialist/Technologist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2019-11-12 |
| 1154965028 | Georgia Shiloh | Physical Therapist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2019-11-04 |
| 1265093801 | John F Donegan | Physical Therapist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2019-06-25 |
| 1407372477 | Allison Clark | Physical Therapist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2017-08-21 |
| 1841725785 | Strive Physical Therapy and Sports Rehabilitation | Occupational Therapist | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2017-04-28 |
| 1245668672 | Samantha Mcdevitt | Physician Assistant | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2013-10-22 |
| 1295007052 | Bernadette Livewell | Orthopaedic Surgery | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2012-02-08 |
| 1134407984 | Scott Chalbert | Physical Therapist | 4000 Church Rd, Mount Laurel, NJ 08054 | 2011-07-28 |
| Find all providers in the same location | ||||
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295007052 | Bernadette Livewell | Orthopaedic Surgery | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2012-02-08 |
| 1417985094 | Coastal Spine PC | Orthopaedic Surgery | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2006-06-30 |
| 1588636534 | Larry Deutsch | Orthopaedic Surgery | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2006-02-03 |
| 1558332957 | Kamaldeep Singh Momi | Orthopaedic Surgery | 4000 Church Rd, Mount Laurel, NJ 08054-1110 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
| 1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
| 1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| 1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
| 1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
| 1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| 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.