DR. MARK ANTHONY DI MEDIO (NPI# 1770674616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770674616 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY DI MEDIO |
| Credential | DPM |
| Practice Address |
500 Sicklerville Rd Williamstown NJ 08094 |
| Practice Telephone | 8566290645 |
| Practice Fax Number | 8566291472 |
| Mailing Telephone | 8566290645 |
| Mailing Fax Number | 8566291472 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MD001496 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1220501 | 05 |
| Street Address |
500 SICKLERVILLE RD |
| City | WILLIAMSTOWN |
| State | NJ |
| Zip Code | 08094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
| 1558843920 | Ngozi Oluchi Amugo | Nurse Practitioner | 1005 Cezanne Ct, Williamstown, NJ 08094 | 2018-09-03 |
| 1962913111 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1767 Forest Drive, Williamstown, NJ 08094 | 2017-10-16 |
| 1841701091 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1848 Herbert Boulevard, Williamstown, NJ 08094 | 2017-10-16 |
| 1659747350 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community/Behavioral Health | 1040 North Tuckahoe Road, Tuckahoe House, Williamstown, NJ 08094 | 2015-08-17 |
| 1891161774 | Assoc. for Retarded Citizens. Inc. Gloucester County | Respite Care | 1036 North Tuckahoe Road, Camp Sun N' Fun, Williamstown, NJ 08094 | 2015-08-14 |
| 1972989184 | Ismile Dental Arts, PC | Clinic/Center | 368 Berlin Cross Keys Rd, Williamstown, NJ 08094 | 2015-08-11 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1144625468 | Lauren Degrazia | Behavioral Analyst | 1880 Glassboro Rd., Williamstown, NJ 08094 | 2014-10-29 |
| 1558601765 | Monroe Township Public School District | Local Education Agency (LEA) | 75 E. Academy Street, Williamstown, NJ 08094 | 2013-02-25 |
| Find all providers in zip 08094 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881716348 | Robert H Moss | Podiatrist | 1056 S Black Horse Pike, Apt K10, Williamstown, NJ 08094-1901 | 2007-04-04 |
| 1649468299 | Williamstown Medical Associates | Podiatrist | 197 Adams Rd, Williamstown, MA 01267-2930 | 2007-10-09 |
| 1548259153 | Karen E. Dobe-costa | Podiatrist | 197 Adams Rd, Williamstown, MA 01267 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 08094 |
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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.