VINCENT DERISIO (NPI# 1427538701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427538701 |
Entity Type | Individual |
Full Name | VINCENT DERISIO |
Credential | DO |
Practice Address |
42 E Laurel Rd Stratford NJ 08084-1354 |
Mailing Address |
Po Box 612 Stratford NJ 08084-0612 |
Practice Telephone | 5133006910 |
Mailing Telephone | 5133006910 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MB05189300 | NJ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528370939 | Vincent James Derisio | Allergy & Immunology | 103 Kent Oaks Way, Gaithersburg, MD 20878-5609 | 2010-07-14 |
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 | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376763037 | Patricia Dargis Beliveau | Pathology | 200 Watson Blvd, Stratford, CT 06615 | 2007-04-26 |
1508983388 | Adam James Carter | Pathology | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
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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.