JEREMY SIPPEL (NPI# 1760571665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760571665 |
Entity Type | Individual |
Full Name | JEREMY SIPPEL |
Credential | PT |
Practice Address |
205 Madison Ave Lumberton NJ 08048-2901 |
Mailing Address |
296 Flour Ln Langhorne PA 19047-1527 |
Practice Telephone | 6092613354 |
Practice Fax Number | 6092618814 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 40QA01069900 | NJ | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | CIGNA PPO | 4520455 | 01 |
NJ | AMERIHEALTH | 1551867 | 01 |
NJ | UNITEDHEALTHCARE MPIN | 2329356 | 01 |
Street Address |
205 MADISON AVE |
City | LUMBERTON |
State | NJ |
Zip Code | 08048-2901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639266190 | Thomas Bianco Jr. | Specialist | 205 Madison Ave, Lumberton, NJ 08048-2901 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
Find all providers in zip 08048 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
1245607258 | Brianna Skiffington | Specialist | 10 Middleton Dr, Lumberton, NJ 08048-5054 | 2015-08-25 |
1407166812 | Carolina Urology Pa | Specialist | 2604 N Elm St, Lumberton, NC 28358-3011 | 2010-10-19 |
1669690210 | Jacqueline Muhammad | Specialist | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2007-04-20 |
1639266190 | Thomas Bianco Jr. | Specialist | 205 Madison Ave, Lumberton, NJ 08048-2901 | 2006-10-06 |
1023053402 | Jitha Rai-patel | Specialist | 693 Main St Ste 2, Lumberton, NJ 08048-5043 | 2006-06-18 |
1912906967 | Dora R Franzoni | Specialist | 2905 N Elm St, Lumberton, NC 28358-2982 | 2005-07-20 |
1659377067 | Lumberton Surgical Associates Pa | Specialist | 3001 N Elm St, Lumberton, NC 28358-2984 | 2005-06-22 |
1295159473 | Southeastern Regional Physician Services | Specialist | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2014-02-10 |
1811286933 | Southeastern Regional Medical Center | Specialist | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-03-29 |
Find all providers in LUMBERTON |
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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.