PHILADELPHIA VAMC (NPI# 1669426086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669426086 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VAMC |
| Other Organization Name | SEWELL VA CLINIC |
| Practice Address |
211 County House Rd Sewell NJ 08080-2525 |
| Mailing Address |
Po Box 3007 Lebanon PA 17042-1614 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sewell VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1679933048 | Philadelphia Vamc | Psychiatric Residential Treatment Facility | 1425 Snyder Ave, Philadelphia, PA 19145-2317 | 2016-02-29 |
| 1316324486 | Philadelphia Vamc | Clinic/Center | 213 N 4th St, Philadelphia, PA 19106-1801 | 2015-04-28 |
| 1841608882 | Philadelphia Vamc | Clinic/Center | 300 S Broadway, Suite 103, Camden, NJ 08103-1210 | 2014-07-22 |
| 1689618795 | Philadelphia Vamc | Clinic/Center | 433 Caredean Dr, Horsham, PA 19044-1321 | 2006-06-16 |
| 1659321693 | Philadelphia Vamc | Skilled Nursing Facility | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-11 |
| 1124077144 | Philadelphia Vamc | Department of Veterans Affairs (VA) Pharmacy | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-08 |
| Street Address |
211 COUNTY HOUSE RD |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750354593 | Jody Williams Baker | Nurse Practitioner | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-02-10 |
| 1033552856 | Todd Martin | Psychiatry & Neurology | 211 County House Rd, Sewell, NJ 08080-2525 | 2013-04-10 |
| 1578874962 | Heather Marie Baye | Psychiatry & Neurology | 211 County House Rd, Sewell, NJ 08080-2525 | 2010-06-30 |
| 1366604472 | Heather Lynn Tighe | Social Worker | 211 County House Rd, Sewell, NJ 08080-2525 | 2008-06-30 |
| 1962687327 | Lesley Brook Lewis | Psychiatry & Neurology | 211 County House Rd, Sewell, NJ 08080-2525 | 2008-01-04 |
| 1316070477 | County of Gloucester, Dept of Senior Services | Public Health or Welfare | 211 County House Rd, Sewell, NJ 08080-2525 | 2007-03-14 |
| 1396891636 | Lauren Reale | Audiologist-Hearing Aid Fitter | 211 County House Rd, Gloucester Va, Sewell, NJ 08080-2525 | 2007-01-27 |
| 1649372095 | Samuela Zerai | Nurse Practitioner | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-09-05 |
| 1922115039 | Nancy Ellen Lieving | Registered Nurse | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-08-24 |
| 1114939774 | Michele Frances Miller | Nurse Practitioner | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-08-12 |
| Find all providers in the same location | ||||
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114128832 | Philadelphia Va Medical Center | Clinic/Center | 8th and Alabama St, Building 5437, Fort Dix, NJ 08640 | 2007-05-30 |
| 1558304535 | East Orange Vamc | Clinic/Center | 540 W Hanover Ave Fl 2, Morristown, NJ 07960-2500 | 2006-06-14 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1053351866 | Wilmington Vamc | Clinic/Center | 79 W Landis Ave, Vineland, NJ 08360-8122 | 2006-06-08 |
| 1932148889 | East Orange Vamc | Clinic/Center | 3635 Quakerbridge Rd, Hamilton, NJ 08619-1247 | 2006-06-06 |
| 1366489379 | East Orange Vamc | Clinic/Center | 14 Wills Way, Bldg 4, Piscataway, NJ 08854-3770 | 2006-05-31 |
| 1508480393 | Estefania Pilar Cabezas | Clinic/Center | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-06-08 |
| 1912443243 | East Orange Vamc | Clinic/Center | 222 High St, Suite 103, Newton, NJ 07860-9604 | 2017-01-10 |
| 1053776385 | East Orange Vamc | Clinic/Center | 20 Washington Pl, Newark, NJ 07102-3127 | 2015-12-31 |
| 1841608882 | Philadelphia Vamc | Clinic/Center | 300 S Broadway, Suite 103, Camden, NJ 08103-1210 | 2014-07-22 |
| 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.