DR. LOUIS JOHN CIRAVOLO (NPI# 1780731034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780731034 |
| Entity Type | Individual |
| Full Name | DR. LOUIS JOHN CIRAVOLO |
| Credential | D.P.M. |
| Practice Address |
602 S Broadway Camden NJ 08103-1222 |
| Mailing Address |
1021 Oaklyn Ct Voorhees NJ 08043-1817 |
| Practice Telephone | 8569632266 |
| Practice Fax Number | 8567722881 |
| Mailing Telephone | 8567722885 |
| Mailing Fax Number | 8567722881 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
MD02339 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERICHOICE OF NJ | 010002883-00 | 01 |
| NJ | HORIZON NJ HEALTH | 1107086 | 01 |
| NJ | 7279302 | 05 |
| Street Address |
602 S BROADWAY |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972514214 | Dr. Edwin A. Jensen, D.o., P.a. | Family Medicine | 602 S Broadway, Camden, NJ 08103-1222 | 2006-08-11 |
| 1114577293 | Sheryl L Trippel | Nurse Practitioner | 602 S Broadway, Camden, NJ 08103-1222 | 2019-09-19 |
| 1427415512 | Family Allergy and Audiology PC | Family Medicine | 602 S Broadway, Reliance Building, Camden, NJ 08103-1222 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296731 | Clinical Health Care Associates of New Jersey PC | Podiatrist | 5000 Dearborn Cir, Mount Laurel, NJ 08054-4108 | 2020-08-20 |
| 1144788183 | Hudson Ortho Group | Podiatrist | 444 Market St Ste 2a, Saddle Brook, NJ 07663-5996 | 2019-03-08 |
| 1134684970 | Hudson Ortho Group | Podiatrist | 1320 Adams St Ste E, Hoboken, NJ 07030-2370 | 2019-02-06 |
| 1629551908 | Jonathan Roy Dpm PC | Podiatrist | 140 N Rte 17 Ste 103, Paramus, NJ 07652-2809 | 2018-09-12 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1720517360 | North Plainfield Podiatry | Podiatrist | 654 Mount Prospect Ave # 301, Newark, NJ 07104-3110 | 2017-06-07 |
| 1366844870 | Urwah Haq | Podiatrist | 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801 | 2014-09-16 |
| 1023372653 | Alicia Lai | Podiatrist | 3003 English Creek Ave Ste C5, Egg Harbor Township, NJ 08234-4818 | 2012-06-28 |
| 1073825535 | Rhonda Lynn Hazell | Podiatrist | 900 Pear St, Cinnaminson, NJ 08077-1922 | 2010-07-12 |
| 1497988737 | Podiatry House Calls, LLC | Podiatrist | 225 N Gladstone Ave, Margate City, NJ 08402-1705 | 2009-09-03 |
| 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.