BRENNA DEAN (NPI# 1326416934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326416934 |
Entity Type | Individual |
Full Name | BRENNA DEAN |
Credential | PA-C |
Practice Address |
525 Route 73 S Suite 300 Marlton NJ 08053-9642 |
Practice Telephone | 8562675629 |
Practice Fax Number | 8565744043 |
Mailing Telephone | 8562675629 |
Mailing Fax Number | 8565744043 |
Enumeration Date | 2015-09-14 |
Last Update Date | 2015-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00375100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417498288 | Brenna Dean | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2017-03-13 |
Street Address |
525 ROUTE 73 S SUITE 300 |
City | MARLTON |
State | NJ |
Zip Code | 08053-9642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548261605 | Steven D Mellul | Ophthalmology | 525 Route 73 S, Suite 305, Marlton, NJ 08053-9642 | 2005-08-10 |
1700336450 | South Jersey Pain Consultants LLC | Non-Pharmacy Dispensing Site | 525 Route 73 S, Suite 103, Marlton, NJ 08053-9642 | 2016-10-06 |
1578914909 | Cornerstone Foot & Ankle | Podiatrist | 525 Route 73 S, Suite 304, Marlton, NJ 08053-9642 | 2016-06-27 |
1225457542 | Lauren Ashley Parks | Nurse Practitioner | 525 Route 73 S, Suite 102, Marlton, NJ 08053-9642 | 2014-04-15 |
1568883288 | Tia Sanders | Social Worker | 525 Route 73 S, Suite 306b, Marlton, NJ 08053-9642 | 2013-12-23 |
1891043238 | Tia Sanders | Social Worker | 525 Route 73 S, Ste 306b, Marlton, NJ 08053-9642 | 2012-08-15 |
1811257629 | Advocare, LLC | Physical Medicine & Rehabilitation | 525 Route 73 S, Suite 104a, Marlton, NJ 08053-9642 | 2012-05-26 |
1457638470 | Erica Michelle Voorhees | Physician Assistant | 525 Route 73 S, Suite 103, Marlton, NJ 08053-9642 | 2011-11-04 |
1699900639 | Elrita Michelle Godbold | Counselor | 525 Route 73 S, Marlton, NJ 08053-9642 | 2009-05-20 |
1578748836 | South Jersey Pain Consultants, LLC | Specialist | 525 Route 73 S, Suite 103, Marlton, NJ 08053-9642 | 2008-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
Find all providers in zip 08053 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811529290 | Surgical Pa Services, PC | Physician Assistant | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-02-04 |
1609385665 | Amanda Bartsch | Physician Assistant | 1001 Route 73 N Uppr Level, Marlton, NJ 08053 | 2017-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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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.