DR. RENITA OGLESBY (NPI# 1548450851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548450851 |
Entity Type | Individual |
Full Name | DR. RENITA OGLESBY |
Credential | D.O. |
Practice Address |
1 Medical Center Dr Stratford NJ 08084-1500 |
Mailing Address |
7o Union Avenue Apt. 4 Nutley NJ 07110 |
Practice Telephone | 9735922733 |
Mailing Telephone | 9735922733 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2016-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MB08472400 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1 MEDICAL CENTER DR |
City | STRATFORD |
State | NJ |
Zip Code | 08084-1500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801411046 | Steven Li | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2020-06-13 |
1346863511 | Shawon Akanda | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2020-05-22 |
1326531278 | Peter Sherman Tatum | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2018-06-14 |
1346770427 | Derick Waldner | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2017-06-12 |
1013366376 | Jennifer Soung | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2016-06-08 |
1396193306 | Herman Grant Gerhardt | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2016-05-31 |
1811343155 | Alyssa Susan Emo | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084 | 2016-05-05 |
1932562634 | Tiffany Holmes | Internal Medicine | 1 Medical Center Dr, Stratford, NJ 08084 | 2016-03-30 |
1962879130 | Rowan College of Osteopathic Medicine | General Acute Care Hospital | 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 | 2015-08-24 |
1922489269 | Michael Paul Wilson Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 | 2015-06-12 |
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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 |
Find all providers in zip 08084 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
1396286597 | Melissa Maxine Gonzalez | Family Medicine | 1300 Highway 35 Unit 101, Ocean, NJ 07712-3533 | 2017-03-20 |
1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
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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.