CINNAMINSON FAMILY PRACTICE GROUP (NPI# 1578509097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578509097 |
| Entity Type | Organization |
| Organization Name | CINNAMINSON FAMILY PRACTICE GROUP |
| Practice Address |
1701 Wynwood Drive Cinnaminson NJ 08077 |
| Practice Telephone | 8568294755 |
| Practice Fax Number | 8567860505 |
| Mailing Telephone | 8568294755 |
| Mailing Fax Number | 8567860505 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARIE A REINHART (OFFICE MANAGER) |
| Authorized Official Telephone | 8568294755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1701 WYNWOOD DRIVE |
| City | CINNAMINSON |
| State | NJ |
| Zip Code | 08077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346279601 | Anthony Thomas Chianese | Family Medicine | 1701 Wynwood Drive, Cinnaminson, NJ 08077 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260537 | Brendan Hastings | Physician Assistant | 1210 Us-130, Cinnaminson, NJ 08077 | 2018-09-27 |
| 1942789037 | Professional Sport & Spine LLC | Chiropractor | 101 Route 130 S- Presidential Center, Washington Bldg Suite 10, Cinnaminson, NJ 08077 | 2018-08-09 |
| 1932635356 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Wayne Dr, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1215463633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Thomas Ave, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1497281109 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 New Albany Rd, Cinnaminson, NJ 08077 | 2017-05-02 |
| 1285169961 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2810 Hunterdon Dr, Cinnaminson, NJ 08077 | 2017-05-01 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| 1043629710 | Sharea Farmer | Social Worker | 101 Route 130, Grant Building, Suite 408, Cinnaminson, NJ 08077 | 2014-08-07 |
| Find all providers in zip 08077 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518194349 | Jeffrey Rakickas | Family Medicine | 1210 Route 130 N Ste 1438, Cinnaminson, NJ 08077-3046 | 2009-06-19 |
| 1689610958 | Larry A. Barr | Family Medicine | 1104 Route 130 N Ste K, Cinnaminson, NJ 08077-3032 | 2006-06-22 |
| 1275520579 | Susan Wendi Laws-mobilio | Family Medicine | 1104 Route 130 N, Suite K, Cinnaminson, NJ 08077-3032 | 2005-10-02 |
| 1740664820 | Lourdes Medical Associates, Pa | Family Medicine | 1701 Wynwood Dr, Cinnaminson, NJ 08077-3033 | 2015-07-17 |
| 1497925325 | Lourdes Medical Associates, Pa | Family Medicine | 1104 Route 130 N, Suite K, Cinnaminson, NJ 08077-3032 | 2008-03-06 |
| 1538250881 | Zenon Michael Switenko | Family Medicine | 1104 Route 130 N Ste K, Cinnaminson, NJ 08077-3032 | 2006-09-28 |
| 1346279601 | Anthony Thomas Chianese | Family Medicine | 1701 Wynwood Drive, Cinnaminson, NJ 08077 | 2006-06-30 |
| 1508814864 | Robert Emmett Stedman | Family Medicine | 1104 Route 130 N, Suite K, Cinnaminson, NJ 08077-3032 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | CINNAMINSON |
| Zip Code | 08077 |
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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.