ANGEL V RODIS (NPI# 1417947094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417947094 |
| Entity Type | Individual |
| Full Name | ANGEL V RODIS |
| Credential | MD |
| Practice Address |
141 Route 70 E Ste B Marlton NJ 08053-1855 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8565969057 |
| Practice Fax Number | 8565960837 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA06073200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA06073200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA06073200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
25MA06073200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | IND BC PPO | 000183277 | 01 |
| NJ | RAILROAD MEDICARE | 290009177 | 01 |
| NJ | 6842607 | 05 | |
| NJ | AMERIHEALTH HMO | 2127243000 | 01 |
| Street Address |
141 ROUTE 70 E STE B |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417363 | Kaitlin Burns | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2020-08-11 |
| 1184269102 | Edward George Norton Jr. | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2019-11-13 |
| 1144889759 | Alexander P Gablin | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2019-06-07 |
| 1992274245 | Stephanie Dejesus | Registered Nurse | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2018-11-15 |
| 1932676921 | Alexandra Lee Meyer | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2018-10-27 |
| 1427594175 | Lori J Ciavaglia | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2017-01-18 |
| 1801254248 | Andrew Schiff | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2016-01-31 |
| 1467757815 | Mindy Patterson | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2011-01-17 |
| 1104072727 | Syed Ali Riaz | Anesthesiology | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-08-14 |
| 1346401023 | Brian Jaffe | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-06-24 |
| Find all providers in the same location | ||||
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396944039 | Rohit Malik | Internal Medicine | 141 Route 73 S Ste B, Marlton, NJ 08053-4120 | 2007-07-12 |
| 1770542946 | Ammar Alimam | Internal Medicine | 750 Rt 73 S, Suite 401, Marlton, NJ 08053-4145 | 2006-03-17 |
| 1801254248 | Andrew Schiff | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2016-01-31 |
| 1033356027 | Thomas Grookett | Internal Medicine | 750 Rt 73 S, Suite 401, Marlton, NJ 08053-4145 | 2009-01-13 |
| 1184663239 | Emilio Mazza Jr. | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2006-06-05 |
| 1477500569 | Roman Krol | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2006-05-27 |
| 1255386355 | Eric S Sztejman | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2006-05-24 |
| 1225083009 | Critical Care Specialists, LLC | Internal Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2006-05-23 |
| 1700847910 | John Bermingham | Internal Medicine | 750 Rt 73 S, Suite 401, Marlton, NJ 08053-4145 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
| 1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
| 1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
| 1558730705 | Academic Icu Doc, Pa | Internal Medicine | 5 Rushton Ct, West Windsor, NJ 08550-3320 | 2015-09-17 |
| 1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
| 1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
| 1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
| 1194086694 | Kristen Denise Scatliffe | Internal Medicine | 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 | 2012-05-31 |
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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.