JOHN R GLASSBURN (NPI# 1669404984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669404984 |
| Entity Type | Individual |
| Full Name | JOHN R GLASSBURN |
| Credential | MD |
| Practice Address |
900 Medical Center Dr Suite 100 Sewell NJ 08080-2358 |
| Practice Telephone | 8565823008 |
| Practice Fax Number | 8565823009 |
| Mailing Telephone | 8565823008 |
| Mailing Fax Number | 8565823009 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
25MA03345200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
MD009725E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007534600002 | 05 |
| Street Address |
900 MEDICAL CENTER DR SUITE 100 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598744922 | Professional Radiation Oncology Services | Radiology | 900 Medical Center Dr, Sewell, NJ 08080-2358 | 2006-01-13 |
| 1043580806 | Kennedy Medical Group Practice, P.C. | Surgery | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2012-01-10 |
| 1992020358 | Kennedy University Hospital, Inc | Clinic/Center | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-29 |
| 1144544297 | Kennedy University Hospital, Inc | Clinic/Center | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-18 |
| 1699098095 | Nicole Anne Scivoletti-polan | Internal Medicine | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-12 |
| 1912166919 | Eduardo Careaga | Surgery | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2008-06-04 |
| 1730370891 | Neveen Malik | Internal Medicine | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2007-08-05 |
| 1790803351 | New Jersey Oncology Services, PC | Radiology | 900 Medical Center Dr, Sewell, NJ 08080-2358 | 2007-03-26 |
| 1275512600 | Carolyn J Horowitz | Radiology | 900 Medical Center Dr, Suite 100, Sewell, NJ 08080 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235566746 | Faith E Nathan | Internal Medicine | 9 W Walnut Ave, Moorestown, NJ 08057-1854 | 2013-09-28 |
| 1891053542 | Synergy Medical Services PC | Internal Medicine | 3897 Highway 516 Ste 2c, Old Bridge, NJ 08857-2499 | 2012-05-01 |
| 1619234408 | Mark J Cornfeld | Internal Medicine | 14 Newport Dr, Princeton Jct, NJ 08550-2224 | 2012-04-18 |
| 1639446628 | Laurie Smaldone Alsup | Internal Medicine | 190 Woosamonsa Rd, Pennington, NJ 08534-4002 | 2011-11-19 |
| 1578830774 | Raymond Paul Warrell Jr. | Internal Medicine | 6 Kimball Cir, Westfield, NJ 07090-1808 | 2011-11-17 |
| 1376833723 | Bartosz Adam Walczyszyn | Internal Medicine | 1608 Route 88 W Ste 250, Brick, NJ 08724-3044 | 2011-04-19 |
| 1235456922 | Edward J Brill | Internal Medicine | 1 Wayne Drive, Cinnaminson, NJ 08077-3838 | 2010-04-21 |
| 1801124094 | Jeffrey Steven Humphrey | Internal Medicine | 251 Bouvant Dr, Princeton, NJ 08540-1227 | 2009-11-26 |
| 1619102878 | Samit Hirawat | Internal Medicine | 5 Buxton Rd, Chatham, NJ 07928-1225 | 2009-05-18 |
| 1336383637 | Ping Gu | Internal Medicine | 225 Summit Avenue, Montvale, NJ 07645 | 2009-04-30 |
| 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.