DR. VINCENT SPAGNUOLO (NPI# 1487621090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487621090 |
| Entity Type | Individual |
| Full Name | DR. VINCENT SPAGNUOLO |
| Credential | M.D. |
| Practice Address |
401 Young Ave Suite 275 Moorestown NJ 08057-3130 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8562918855 |
| Practice Fax Number | 8562918844 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA04573800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA04573800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1832701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Sheffield Dr Ste 201, Columbus, NJ 080229506 | 8562918855 | 6094445526 |
| 128 Route 70 Ste 1b, Medford, NJ 080552371 | 8562918855 | 6094445521 |
| Street Address |
401 YOUNG AVE SUITE 275 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022007 | Jill A Marple | Physical Medicine & Rehabilitation | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130 | 2005-09-07 |
| 1518501683 | Melissa M Thompson | Nurse Practitioner | 401 Young Ave, Moorestown, NJ 08057-3130 | 2019-11-01 |
| 1487188348 | Melissa Reilly | Occupational Therapist | 401 Young Ave, Suite 255, Moorestown, NJ 08057-3130 | 2017-04-18 |
| 1982144317 | Patricia Dehart | Registered Nurse | 401 Young Ave, Moorestown, NJ 08057-3130 | 2017-03-04 |
| 1184174849 | Virtua Medical Group, Pa | Clinic/Center | 401 Young Ave, Suite 180, Moorestown, NJ 08057 | 2016-10-06 |
| 1295192235 | Andrea Schwartz | Dietitian, Registered | 401 Young Ave, Suite 305, Moorestown, NJ 08057-3130 | 2016-01-21 |
| 1457736613 | Corinne E Cummings | Registered Nurse | 401 Young Ave, Suite 260, Moorestown, NJ 08057-3130 | 2015-07-29 |
| 1275926644 | Bryony Crane | Dietitian, Registered | 401 Young Ave, Ste 305, Moorestown, NJ 08057-3130 | 2015-03-10 |
| 1780077248 | Kristin Andolaro | Dietitian, Registered | 401 Young Ave, Suite 305, Moorestown, NJ 08057-3130 | 2015-03-09 |
| 1609272095 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130 | 2014-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1437383007 | Sebastian F Dovi | Internal Medicine | 252 Carriage Hill Dr, Moorestown, NJ 08057-1302 | 2009-05-11 |
| 1780817205 | Harry L South | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2009-09-01 |
| 1114986213 | Samuel M Ventrella | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-20 |
| 1750340857 | Anthony G Sauerwein | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-20 |
| 1922067024 | Jeffrey E Namey | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-20 |
| 1326007428 | Robert Schimenti | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-20 |
| 1811966187 | Thomas M Galski | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-03-17 |
| 1790754059 | Maria D Duca | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-17 |
| 1376510594 | Ralph E Russo IIi | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-03-07 |
| 1851368062 | Jay Sussman | Internal Medicine | 401 Young Ave, Suite 275, Moorestown, NJ 08057-3130 | 2006-03-07 |
| Find all providers in MOORESTOWN | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on DR. VINCENT SPAGNUOLO.
| 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.