SOUTH JERSEY HYPERBARIC MEDICINE LLC (NPI# 1699216853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699216853 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY HYPERBARIC MEDICINE LLC |
| Practice Address |
1505 W Sherman Ave Vineland NJ 08360-7059 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 8566418000 |
| Mailing Telephone | 8566864316 |
| Mailing Fax Number | 8652913254 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | SCOTT WAGNER (OWNER) |
| Authorized Official Telephone | 8566864316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1505 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649879 | Joseph Paul Yampaglia | Anesthesiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2005-06-20 |
| 1699392977 | Tahia Sandra Hossain | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-07-02 |
| 1386264133 | Kimberly M Moy | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-22 |
| 1447870464 | David Kline | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-20 |
| 1245850395 | Rebecca Lee | Pharmacist | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-18 |
| 1457970931 | Andrew Coppa | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-14 |
| 1174142822 | Hayley Norian | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1295354058 | Kaitlyn Brower Dressman | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1851910608 | Muhammad Sheheryar Rizwan | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-12 |
| 1790304798 | Christopher Debord | Clinic/Center | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854080 | William Warnick Dodson IIi | Preventive Medicine | 108th Wing Clinic, Joint Mtf Building, Mcguire Afb, NJ 08641 | 2006-03-10 |
| 1063461200 | Englewood Hyperbaric, P.a. | Preventive Medicine | 350 Engle St, Englewood, NJ 07631-1808 | 2006-05-07 |
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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.