DR. MICHAEL B. MARCHILDON (NPI# 1447340179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447340179 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL B. MARCHILDON |
| Credential | MD |
| Practice Address |
Virtua and Dupont Childrens Health Program 1000 White Horse Road Suite 204 Voorhees NJ 08043-4406 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 8563098508 |
| Practice Fax Number | 8563098556 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MA03903300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1176902 | 05 | |
| NJ | 3716708 | 05 | |
| MD | 4881036 | 05 |
| Street Address |
VIRTUA AND DUPONT CHILDRENS HEALTH PROGRAM 1000 WHITE HORSE ROAD SUITE 204 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538259262 | Dorothy A. Gould | Nurse Practitioner | Virtua and Dupont Childrens Health Program, 1000 White Horse Road Suite 204, Voorhees, NJ 08043-4406 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788477 | Children's Surgical Associates of New Jersey Inc | Surgery | 1012 Laurel Oak Rd, Suite 1, Voorhees, NJ 08043-3505 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064971 | Victoriya Staab | Surgery | 4 Industrial Way, Suite 100, Eatontown, NJ 07724-4238 | 2009-01-31 |
| 1699937961 | Meridian Pediatric Surgical Associates, P.C. | Surgery | 4 Industrial Way W Ste 100, Eatontown, NJ 07724-4239 | 2008-06-27 |
| 1487851366 | Joseph Sujai Udomsaph | Surgery | 7 Baltic St, Edison, NJ 08820-2724 | 2007-07-02 |
| 1851355317 | Saverio Joseph Panzarino | Surgery | 53 Sentinel Dr, Basking Ridge, NJ 07920-4231 | 2006-04-13 |
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1083939573 | Jennifer M Murphy | Surgery | 100 Madison Avenue, Farris Building, Third Floor, Morristown, NJ 07960 | 2010-03-29 |
| 1649463696 | Cooper Surgical Asscociates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
| 1932223203 | Saad A Saad Md Pa | Surgery | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL B. MARCHILDON.
| 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.