BORDENTOWN FAMILY PRACTICE PA (NPI# 1477811107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477811107 |
| Entity Type | Organization |
| Organization Name | BORDENTOWN FAMILY PRACTICE PA |
| Practice Address |
163 Route 130 Bldg. 1 Suite B Bordentown NJ 08505-2248 |
| Practice Telephone | 6092982992 |
| Practice Fax Number | 6092918359 |
| Mailing Telephone | 6092982992 |
| Mailing Fax Number | 6092918359 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | DR. MOISHE STARKMAN (PRESIDENT) |
| Authorized Official Telephone | 6092982992 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MA50962 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8288402 | 05 |
| Street Address |
163 ROUTE 130 BLDG. 1 SUITE B |
| City | BORDENTOWN |
| State | NJ |
| Zip Code | 08505-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497792105 | Katrina Joy Stevenson | Physical Therapist | 163 Route 130, Suite A-1 Bld 2, Bordentown, NJ 08505 | 2006-06-01 |
| 1366966038 | Jessica Abramo | Physical Therapist | 163 Route 130, Suite A1 Bldg 2, Bordentown, NJ 08505-2249 | 2017-08-03 |
| 1043480726 | The Foot and Ankle Group, PC | Podiatrist | 163 Route 130, Bldg 2 Suite B1, Bordentown, NJ 08505-2248 | 2008-03-10 |
| 1235224965 | David William Alexander | Physical Therapist | 163 Route 130, Bordentown, NJ 08505-2248 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295214872 | Arlene B. Hancock | Massage Therapist | 7500 Kevin Johnson Blvd., Bordentown, NJ 08505 | 2018-08-14 |
| 1144712159 | Makeba Morrison-buissereth | Behavior Technician | 272 Dunns Mills Road, Bordentown Bordentown, NJ 08505 | 2018-06-05 |
| 1679003883 | Joseph Chorba Jr. | Prosthetic/Orthotic Supplier | 163 Route 130 Building 2, Suite D, Bordentown, NJ 08505 | 2017-06-20 |
| 1043767692 | Barbara Benson | Counselor | 165 4b Third St., Bordentown, NJ 08505 | 2016-09-01 |
| 1285057695 | Cope Counseling Services, LLC | Voluntary or Charitable | 9500 K. Johnson Blvd., Bordentown, NJ 08505 | 2014-01-22 |
| 1982969648 | Pamela Y Dahl | Massage Therapist | 104 Farnsworth Avenue, Bordentown, NJ 08505 | 2012-07-09 |
| 1912265208 | Anna Meredith Rehwinkel-morfe | Psychologist | 430 Farnsworth Avenue, Bordentown, NJ 08505 | 2012-04-25 |
| 1194039156 | Nehal Modi | Pharmacist | 622 Rt 206 and Martin Ave, Bordentown, NJ 08505 | 2010-08-02 |
| 1114168432 | Rachael Skule Vasquez | Massage Therapist | 1 1/2 Crosswicks Street, Bordentown, NJ 08505 | 2009-03-17 |
| 1003024001 | Jean French Cochrane | Social Worker | 513 Prince Street, Bordentown, NJ 08505 | 2007-05-21 |
| Find all providers in zip 08505 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | BORDENTOWN |
| Zip Code | 08505 |
Please comment or provide details below to improve the information on BORDENTOWN FAMILY PRACTICE PA.
| 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.