JERRY L. HAAG (NPI# 1699717165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699717165 |
| Entity Type | Individual |
| Full Name | JERRY L. HAAG |
| Credential | M.D. |
| Practice Address |
350 Front St Elmer NJ 08318-2143 |
| Practice Telephone | 8563588113 |
| Practice Fax Number | 8563581305 |
| Mailing Telephone | 8563588113 |
| Mailing Fax Number | 8563581305 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA02782500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2196409 | 05 |
| Street Address |
350 FRONT ST |
| City | ELMER |
| State | NJ |
| Zip Code | 08318-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135391 | Francis J Sieber | Optometrist | 350 Front St, Suite 2103, Elmer, NJ 08318-2143 | 2005-09-26 |
| 1851943682 | Acenda, Inc. | Case Management | 350 Front St, Elmer, NJ 08318-2100 | 2019-07-11 |
| 1235533100 | Newpoint Behavioral Health Care, Inc. | Community/Behavioral Health | 350 Front St, Elmer, NJ 08318-2100 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001158 | Rbgs Partners PC | Clinic/Center | 440 Front Street, Elmer, NJ 08318 | 2018-11-08 |
| 1578084752 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Saw Mill Road, Upper Pittsgrove, NJ 08318 | 2017-06-28 |
| 1013443845 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 201, Woodstown, NJ 08318 | 2017-05-11 |
| 1336675537 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 Saw Mill Road, Upper Pittsgrove, NJ 08318 | 2017-05-08 |
| 1174059372 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 102, Woodstown, NJ 08318 | 2017-05-08 |
| 1619403813 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 202, Woodstown, NJ 08318 | 2017-05-08 |
| 1437685633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 301, Woodstown, NJ 08318 | 2017-05-08 |
| 1255867453 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 401, Woodstown, NJ 08318 | 2017-05-08 |
| 1073049276 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 402, Woodstown, NJ 08318 | 2017-05-08 |
| 1982130183 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Commissioners Rd Unit 501, Woodstown, NJ 08318 | 2017-05-08 |
| Find all providers in zip 08318 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053425686 | Centerton Family Practice, LLC | Family Medicine | 798 Centerton Road, Elmer, NJ 08318-0890 | 2006-08-19 |
| 1538138847 | Susan M Ventrella | Family Medicine | 330 Front St, Elmer, NJ 08318-2143 | 2006-03-17 |
| 1639157068 | Gerard Ventrella | Family Medicine | 475 Route 40, Elmer, NJ 08318-2532 | 2006-01-05 |
| 1902893134 | Jay V Malickel | Family Medicine | 798 Centerton Rd, Elmer, NJ 08318-3945 | 2005-10-03 |
| 1659519346 | Patricia Jann Thomas | Family Medicine | 798 Centerton Rd, Elmer, NJ 08318-3945 | 2009-02-03 |
| 1437243532 | Earle E. Morton | Family Medicine | 330 Front St, Elmer, NJ 08318-2143 | 2006-10-03 |
| 1124058102 | Philip Elgawli | Family Medicine | 475 Route 40, Elmer, NJ 08318-2532 | 2006-07-04 |
| 1275571184 | Elmer Family Practice,pc | Family Medicine | 475 Route 40, Elmer, NJ 08318-2532 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| 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.