MRS. TRINA N GRAHAM (NPI# 1679856355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679856355 |
| Entity Type | Individual |
| Full Name | MRS. TRINA N GRAHAM |
| Credential | PA |
| Practice Address |
15000 Midlantic Dr Suite 102 Mount Laurel NJ 08054-1573 |
| Practice Telephone | 8562555479 |
| Mailing Telephone | 8562555479 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00259000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15000 MIDLANTIC DR SUITE 102 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190820 | William L Niedrach | Urology | 15000 Midlantic Dr, Suite 100, Mount Laurel, NJ 08054-1573 | 2006-01-30 |
| 1902466865 | Meagan Margaret Barnes | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2019-06-13 |
| 1962980862 | Tracy Baus | Anesthesiology | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2018-08-02 |
| 1659878296 | Stephanie Elizabeth Zulkoski | Dietitian, Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2018-04-10 |
| 1568993806 | Teresa Martone | Nurse Practitioner | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | 2017-03-27 |
| 1780120519 | Amy Renee Martz | Registered Nurse | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | 2017-01-18 |
| 1053862243 | Caroline Marie Desanctis | Dietitian, Registered | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-10-22 |
| 1134587793 | Barbara Fulgentiz | Counselor | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-02-10 |
| 1245698729 | Lauren Rooney | Dietitian, Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2016-01-29 |
| 1841657327 | Shanna Manger | Social Worker | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| 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 |
|---|---|---|---|---|
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1497106470 | Monica Shoukry | Physician Assistant | 518 Cambridge Dr, Mount Laurel, NJ 08054-2804 | 2016-06-30 |
| 1568021640 | Gabrielle Marie Bruno | Physician Assistant | 101 Gaither Dr, Mount Laurel, NJ 08054 | 2019-06-11 |
| 1710499421 | Alexandra Jantorno | Physician Assistant | 2026 Briggs Rd, Mount Laurel, NJ 08054-4601 | 2017-11-02 |
| 1700300647 | Matthew Armand Bardales | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2017-08-02 |
| 1689076333 | Michelle Smalley | Physician Assistant | 101 Gaither Dr, Mount Laurel, NJ 08054-1701 | 2014-09-24 |
| 1316216054 | Danielle Marie Butchko | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-12-27 |
| 1942455621 | Megan Weydert Finstein | Physician Assistant | 115 Union Mill Rd, Mount Laurel, NJ 08054-6299 | 2008-11-24 |
| 1871777532 | Elizabeth B Demara | Physician Assistant | 2059 Briggs Rd Ste 304, Mount Laurel, NJ 08054-4640 | 2007-12-18 |
| 1194925248 | Linda Capelli | Physician Assistant | 3829 Church Rd Ste A, Mount Laurel, NJ 08054-1105 | 2007-07-18 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.