MR. MICHAEL ROBERT REUTTER (NPI# 1639407414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639407414 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ROBERT REUTTER |
| Credential | PA-C |
| Practice Address |
175 Cross Keys Rd Ste 300a Berlin NJ 08009-9263 |
| Mailing Address |
634 Pine Street Philadelphia PA 19106-4109 |
| Practice Telephone | 8567670077 |
| Practice Fax Number | 8567676102 |
| Mailing Telephone | 2156271300 |
| Mailing Fax Number | 2159252126 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0A000754 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 634 Pine Street, Philadelphia, PA 191064109 | 2156271300 | 2159252126 |
| Street Address |
175 CROSS KEYS RD STE 300A |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164470787 | Stacy A Smith-elfant | Pediatrics | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2006-05-05 |
| 1285244491 | Isabelle Catherine Clauss | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2020-08-03 |
| 1710455605 | Heather Stang | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2018-11-08 |
| 1336638287 | Meredith Ann Mcnelis | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 | 2018-05-07 |
| 1811078488 | David A Wright Jr. | Physical Therapist | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.