PEDIATRIC INTENSIVE CARE ASSOCIATES (NPI# 1497709661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497709661 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC INTENSIVE CARE ASSOCIATES |
| Practice Address |
101 Carnie Blvd Picu Voorhees NJ 08043-1548 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8567823300 |
| Practice Fax Number | 8565048029 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | DR. JOHN M. TEDESCHI (CEO/ CHAIRMAN) |
| Authorized Official Telephone | 8567823300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 041581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588766406 | Pediatric Intensive Care Associates | Pediatrics | 2801 Atlantic Ave, 3rd Floor, Long Beach, CA 90806-1701 | 2006-09-01 |
| Street Address |
101 CARNIE BLVD PICU |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430324 | Ronald Librizzi | Obstetrics & Gynecology | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2005-10-12 |
| 1508192980 | Kimberly Ann Pinto | Physician Assistant | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2009-10-20 |
| 1639315450 | Marie Hegeman | Physician Assistant | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2008-12-29 |
| 1487816799 | Ana Mendes Mann | Pediatrics | 101 Carnie Blvd, Voorhees, NJ 08043 | 2008-06-27 |
| 1710173737 | Andrew Karcsh | Pharmacist | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-09-24 |
| 1508063033 | Joby Varghese | Emergency Medicine | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-28 |
| 1447456082 | Danielle Rodgers | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-21 |
| 1750585733 | Christine Marie Catts | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-13 |
| 1629283312 | Michael V. Filart | Emergency Medicine | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-05-14 |
| 1932312717 | Ninetta Simone Dickerson | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-05-08 |
| Find all providers in the same location | ||||
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785879 | David Bigos | Pediatrics | 100 Bowman Drive, Virtua Voorhees, Voorhees, NJ 08043-1548 | 2005-10-21 |
| 1366430266 | Christopher J Festa | Pediatrics | 100 Bowman Dr, Virta Voorhees Hospital, Voorhees, NJ 08043-9612 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821174558 | Meena Kalyanaraman | Pediatrics | 201 Lyons Ave # C-5, Newark, NJ 07112-2027 | 2006-10-27 |
| 1376956946 | Rachel Lewis | Pediatrics | 30 Prospect Ave, Picu, Hackensack, NJ 07601-1915 | 2014-06-11 |
| 1568705051 | Maria Luisa Escobar | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-03 |
| 1528326980 | Amy L. Chirico | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2012-04-24 |
| 1134421530 | Abigail Hodges Walsh | Pediatrics | 94 Old Short Hills Rd, Livingston, NJ 07039 | 2010-11-17 |
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1396074456 | Michael Keenaghan | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-12-17 |
| 1043449671 | Mario Charles Colletti | Pediatrics | 703 Main St, Paterson, NJ 07503 | 2009-07-02 |
| 1104060102 | Amit C Misra | Pediatrics | 300 Second Avenue, Long Branch, NJ 07740 | 2009-04-22 |
| 1952544272 | Ma. Bernardita Ricafort Gamallo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-04-16 |
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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.