DR. MARC T ROUSSEAU (NPI# 1326033838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326033838 |
| Entity Type | Individual |
| Full Name | DR. MARC T ROUSSEAU |
| Credential | MD ANESTHESIOLOGIST |
| Practice Address |
509 N Broad St Woodbury NJ 08096-1617 |
| Practice Telephone | 8568450100 |
| Practice Fax Number | 8568487023 |
| Mailing Telephone | 8568450100 |
| Mailing Fax Number | 8568487023 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | 25MA07616000 | 01 |
| NJ | CDS | D08410700 | 01 |
| NJ | 0026662 | 05 | |
| NJ | DEA | BR6122624 | 01 |
| Street Address |
509 N BROAD ST |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141091 | Inspira Medical Centers, Inc. | Clinic/Center | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-19 |
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1336603430 | Jenna Bertino | Counselor | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-01-23 |
| 1821579566 | Matthew Francis Valentine | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2018-08-21 |
| 1609392885 | Lauren Lee Chiari | Social Worker | 509 N Broad St, Woodbury, NJ 08096-1617 | 2017-08-18 |
| 1043736416 | Kristin Elizabeth Pollock | Counselor | 509 N Broad St, Woodbury, NJ 08096-1617 | 2017-08-17 |
| 1053836015 | Joy Dicosimo Addeo | Social Worker | 509 N Broad St, Woodbury, NJ 08096-1617 | 2017-08-10 |
| 1730604703 | Karen Schiavi | Social Worker | 509 N Broad St, Woodbury, NJ 08096-1617 | 2017-08-10 |
| 1265976542 | Julia Mims | Dietitian, Registered | 509 N Broad St, Woodbury, NJ 08096-1617 | 2016-12-06 |
| 1629520994 | Elizabeth Sierzega | Dietitian, Registered | 509 N Broad St, Woodbury, NJ 08096-1617 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662251 | Eva Frances Siegel | Specialist | 7 The Brae, Woodbury, NY 11797-2813 | 2019-07-25 |
| 1811455082 | Jenny Levinson | Specialist | 16 Fox Hollow Rd, Woodbury, NY 11797-1612 | 2019-03-06 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1073011284 | Dawn Lund Collins | Specialist | 13 Seward Dr, Woodbury, NY 11797-2608 | 2018-01-23 |
| 1720532591 | Stacy Silverman | Specialist | 16 Jennings Ct, Woodbury, NY 11797-3025 | 2016-08-10 |
| 1215386107 | Danielle Nicole Millman | Specialist | 3 Club House Ct, Woodbury, NY 11797-3028 | 2016-06-10 |
| 1295142339 | Traci Conrad Mankuta | Specialist | 30 Woodlake Dr E, Woodbury, NY 11797-2317 | 2014-07-21 |
| 1568875078 | Robin Black | Specialist | 122 Woodlake Dr W, Woodbury, NY 11797-2311 | 2014-06-03 |
| 1396170577 | Lee Farrell Green | Specialist | 7663 Jericho Tpke, Woodbury, NY 11797-1703 | 2013-09-06 |
| 1043566359 | Susan Joy Rind | Specialist | 60 Dalor Ct, Woodbury, NY 11797-2908 | 2012-07-24 |
| Find all providers in WOODBURY | ||||
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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.