SARA BRODOWSKI (NPI# 1679995757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679995757 |
| Entity Type | Individual |
| Full Name | SARA BRODOWSKI |
| Other Name | SARA BEDNARCHIK |
| Credential | APN |
| Practice Address |
401 Young Ave Ste 275a Moorestown NJ 08057-3130 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8562918855 |
| Practice Fax Number | 8562918844 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR13105200 | NJ | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00486300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00486300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0447684 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Sheffield Dr Ste 201, Columbus, NJ 080229506 | 8562918855 | 8564445526 |
| 128 Route 70 Ste 1b, Medford, NJ 080552371 | 8562918855 | 8564445521 |
| Street Address |
401 YOUNG AVE STE 275A |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336116995 | Mark Finch | Specialist | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-03-02 |
| 1427670272 | Suzette Melanie Washington | Nurse Practitioner | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2020-05-15 |
| 1396281549 | Maribeth Walter | Nurse Practitioner | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2017-01-12 |
| 1780817205 | Harry L South | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2009-09-01 |
| 1952335531 | Danielle Ferrer | Physician Assistant | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-07-10 |
| 1811966187 | Thomas M Galski | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-03-17 |
| 1376510594 | Ralph E Russo IIi | Internal Medicine | 401 Young Ave Ste 275a, Moorestown, NJ 08057-3130 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174150031 | Whitny Nicole Castano | Nurse Practitioner | 255 E Main St, Moorestown, NJ 08057-2982 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on SARA BRODOWSKI.
| 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.