MRS. MICHELLE L. MUNYON (NPI# 1659507762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659507762 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE L. MUNYON |
| Credential | PA-C |
| Practice Address |
301 Central Ave Ste D Egg Harbor Township NJ 08234-8347 |
| Practice Telephone | (609) 926-5000 |
| Practice Fax Number | 6099262020 |
| Mailing Telephone | 6099265000 |
| Mailing Fax Number | 6099262020 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00217600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | GROUP MEDICAID | 0348899 | 01 |
| GROUP MEDICARE | 216927 | 01 |
| Street Address |
301 CENTRAL AVE STE D |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038130 | John H Cooper | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-01-25 |
| 1063753473 | Diane Theresa Maggio | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2013-03-11 |
| 1952626640 | Salartash Surgical Associates, LLC | Specialist | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2010-04-06 |
| 1073764924 | Laura Ann Schwenker | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2008-10-08 |
| 1619134475 | Pejman Rohani | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2008-05-20 |
| 1003947722 | Kristen G Leon | Nutritionist | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2007-03-07 |
| 1245349133 | Sarah K Fry | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-08-30 |
| 1457376006 | Khashayar Salartash | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-13 |
| 1710902333 | Alimorad Salartash | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-13 |
| 1003845223 | Matthew J. Finnegan | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962030502 | Tung Vu | Physician Assistant | 24 Mountain Ln, Egg Harbor Township, NJ 08234-9728 | 2020-03-30 |
| 1821011040 | Ryan Stamm | Physician Assistant | 2500 English Creek Ave Ste 222, Egg Harbor Township, NJ 08234-5598 | 2006-07-26 |
| 1881248870 | Matthew J Berry | Physician Assistant | 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 | 2019-07-29 |
| 1992369458 | Dimyana Ata | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-04-30 |
| 1972029114 | Whitney F Mackay | Physician Assistant | 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 | 2017-08-18 |
| 1386993517 | Francesca Dipaola | Physician Assistant | 2500 English Creek Ave Bldg 900, Egg Harbor Township, NJ 08234-5549 | 2012-09-04 |
| 1437435872 | Mariah Grace Sykes | Physician Assistant | 2500 English Creek Ave, Building 800, Egg Harbor Township, NJ 08234-5549 | 2011-10-31 |
| 1821371360 | Conor B Luskin | Physician Assistant | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.