VINCENT DERISIO


Address: 42 E Laurel Rd, Stratford, NJ 08084-1354
Phone: 5133006910

VINCENT DERISIO (NPI# 1427538701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
25MB05189300 NJ Allopathic & Osteopathic Physicians

Other Providers VINCENT DERISIO

NPI Name Taxonomy Address Enumeration
1528370939 Vincent James Derisio Allergy & Immunology 103 Kent Oaks Way, Gaithersburg, MD 20878-5609 2010-07-14

Office Location

Street Address 42 E LAUREL RD
City STRATFORD
State NJ
Zip Code 08084-1354

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City STRATFORD
Zip Code 08084

Improve Information

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Dataset Information

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.

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