RICARDO Y MABANTA (NPI# 1730130840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730130840 |
| Entity Type | Individual |
| Full Name | RICARDO Y MABANTA |
| Credential | MD |
| Practice Address |
12000 Lincoln Dr W Suite 204 Marlton NJ 08053-3402 |
| Practice Telephone | 8569883444 |
| Practice Fax Number | 8569880553 |
| Mailing Telephone | 8569883444 |
| Mailing Fax Number | 8569880553 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA059597 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6525105 | 05 |
| Street Address |
12000 LINCOLN DR W SUITE 204 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366781 | Bryan C Russell | Chiropractor | 12000 Lincoln Dr W, Suite 304, Marlton, NJ 08053-3402 | 2005-06-15 |
| 1114267721 | The Eb Wellness Center | Social Worker | 12000 Lincoln Dr W, Suite 405, Marlton, NJ 08053-3402 | 2013-02-18 |
| 1760756654 | Dorothea Neuber | Social Worker | 12000 Lincoln Dr W, Ste 407, Marlton, NJ 08053-3402 | 2012-02-24 |
| 1528365186 | Unity Care Medical Group, LLC | Family Medicine | 12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 | 2011-02-17 |
| 1972782704 | Center for Neurologic Specialty | Psychiatry & Neurology | 12000 Lincoln Dr W, Suite 204, Marlton, NJ 08053-3402 | 2007-10-29 |
| 1528259264 | Stephen Falkowski, Do Pa | Family Medicine | 12000 Lincoln Dr W, Suite 309, Marlton, NJ 08053-3402 | 2007-08-07 |
| 1013115690 | Nadia Chaudhry | Legal Medicine | 12000 Lincoln Dr W, Marlton, NJ 08053-3402 | 2007-07-05 |
| 1083751291 | Kathleen Marie Dean | Social Worker | 12000 Lincoln Dr W, Suite 407, Marlton, NJ 08053-3402 | 2007-01-30 |
| 1467508796 | Center for Pediatrics Adolescent and Adult Medicine of Snj Pa | Pediatrics | 12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 | 2007-01-27 |
| 1922159425 | Carol P Bilofsky | Social Worker | 12000 Lincoln Dr W, Site 407, Marlton, NJ 08053-3402 | 2007-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341556 | Jay Klazmer | Psychiatry & Neurology | 73 N Maple Ave, Suite B, Marlton, NJ 08053-1782 | 2005-07-28 |
| 1083985857 | Kennedy Medical Group | Psychiatry & Neurology | 73 N Maple Ave, Marlton, NJ 08053-1782 | 2012-01-25 |
| 1972782704 | Center for Neurologic Specialty | Psychiatry & Neurology | 12000 Lincoln Dr W, Suite 204, Marlton, NJ 08053-3402 | 2007-10-29 |
| 1861528721 | Comprehensive Neurocare Associates | Psychiatry & Neurology | 750 Route 73 S, Suite 201a, Marlton, NJ 08053-4141 | 2007-02-26 |
| 1831159524 | Allen J Rubin | Psychiatry & Neurology | 11009 Lincoln Dr W, Marlton, NJ 08053-3411 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| 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.