DR. RANDI PROTTER (NPI# 1801906490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801906490 |
| Entity Type | Individual |
| Full Name | DR. RANDI PROTTER |
| Credential | MD |
| Practice Address |
34 Scotch Rd Suite 1 Ewing NJ 08628-2528 |
| Practice Telephone | 6094987670 |
| Practice Fax Number | 6093854150 |
| Mailing Telephone | 6094987670 |
| Mailing Fax Number | 6093854150 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA06354800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8631301 | 05 |
| Street Address |
34 SCOTCH RD SUITE 1 |
| City | EWING |
| State | NJ |
| Zip Code | 08628-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600595 | Heather Marie Chiricolo | Physical Medicine & Rehabilitation | 34 Scotch Rd, Ewing, NJ 08628-2528 | 2005-12-16 |
| 1770034191 | R-health Primary Care Medical Home LLC | Clinic/Center | 34 Scotch Rd, Unit B1, Ewing, NJ 08628-2528 | 2016-10-20 |
| 1669785101 | Daniel S. Rosenberg, Md, LLC | Specialist | 34 Scotch Rd, Ewing, NJ 08628-2528 | 2010-07-26 |
| 1366611592 | Daniel S. Rosenberg, M.d. | Physical Medicine & Rehabilitation | 34 Scotch Rd, Ewing, NJ 08628-2528 | 2008-02-21 |
| 1376601427 | Carl H Victor Md, Pa | Internal Medicine | 34 Scotch Rd, Ewing, NJ 08628-2503 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932358074 | Pavlinka Vanyova Dundeva-baleva | Internal Medicine | 1901 N Olden Avenue Ext Ste 13a, Ewing, NJ 08618-2100 | 2008-09-12 |
| 1710166954 | Robert P. Hogan, D.o. P.C. | Internal Medicine | 1239 Parkway Ave, Suite 102, Ewing, NJ 08628-3000 | 2007-10-24 |
| 1922177070 | Pennington Medical Group, PC | Internal Medicine | 820 Bear Tavern Rd, Suite 102, Ewing, NJ 08628-1021 | 2006-11-06 |
| 1942242748 | Scott Kolander | Internal Medicine | 850 Bear Tavern Rd Ste 309, Ewing, NJ 08628-1018 | 2006-06-13 |
| 1386692135 | John Harman | Internal Medicine | 850 Bear Tavern Road, Suite 309, Ewing, NJ 08628-1018 | 2006-05-04 |
| 1396708632 | Robert P Hogan | Internal Medicine | 1230 Parkway Ave Ste 203, Ewing, NJ 08628-3018 | 2006-04-08 |
| 1194715516 | Carolyn Jean Gaukler | Internal Medicine | 1230 Parkway Ave, Suite 203, Ewing, NJ 08628-3018 | 2005-10-26 |
| 1205332111 | Prime Med Medical Services PC | Internal Medicine | 1676 N Olden Ave, Ewing, NJ 08638-3209 | 2018-04-02 |
| 1205248192 | Shaismy Kudakachira | Internal Medicine | 850 Bear Tavern Rd, Ewing, NJ 08628-1018 | 2014-05-27 |
| 1295167807 | Maya Mann | Internal Medicine | 1539 Pennington Rd, Ewing, NJ 08618-1301 | 2013-08-06 |
| Find all providers in EWING | ||||
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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.