MARK PERNICE (NPI# 1811940620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811940620 |
| Entity Type | Individual |
| Full Name | MARK PERNICE |
| Credential | D.O. |
| Practice Address |
2106 New Rd Suite D1 Linwood NJ 08221-1050 |
| Practice Telephone | 6099279545 |
| Practice Fax Number | 6099272920 |
| Mailing Telephone | 6099279545 |
| Mailing Fax Number | 6099272920 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB04100800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 0100759001 | 01 |
| NJ | HEALTHNET | F09371 | 01 |
| NJ | MUTUAL OF OMAHA | NJ41008 | 01 |
| NJ | UNITED HEALTHCARE | 156502908 | 01 |
| NJ | 2013207 | 05 | |
| NJ | US HEALTHCARE | 0010640 | 01 |
| Street Address |
2106 NEW RD SUITE D1 |
| City | LINWOOD |
| State | NJ |
| Zip Code | 08221-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534497 | Vytas B Siliunas | Otolaryngology | 2106 New Rd, C9, Linwood, NJ 08221-1046 | 2005-08-10 |
| 1497312425 | Gabriella Jean Capriotti | Physician Assistant | 2106 New Rd, Linwood, NJ 08221-1046 | 2019-05-24 |
| 1528491719 | Shane P Courtney | Physician Assistant | 2106 New Rd, Suite D4, Linwood, NJ 08221-1046 | 2013-08-12 |
| 1124376827 | Robert Chorney Psyd At New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2012-08-28 |
| 1235485178 | Sean Alan Adair | Physician Assistant | 2106 New Rd, Suite D-4, Linwood, NJ 08221-1046 | 2012-07-30 |
| 1811298649 | Kenneth A. Leight Phd New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2010-11-10 |
| 1649418286 | Laura Janis Huberman, LLC | Social Worker | 2106 New Rd, Suite E-1, Linwood, NJ 08221-1046 | 2009-02-03 |
| 1083852792 | Lauren Cincotta | Physician Assistant | 2106 New Rd, Ste D4, Linwood, NJ 08221-1046 | 2009-02-03 |
| 1467607465 | Cloey Ann Talotta | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2008-11-18 |
| 1508013715 | Roberta B Aungst | Audiologist | 2106 New Rd, Linwood, NJ 08221-1046 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764986 | Mvc New Jersey Medical Group PC | Family Medicine | 199 New Rd Ste 46, Linwood, NJ 08221-2025 | 2020-03-03 |
| 1902921166 | Marvin Allen Roth | Family Medicine | 403 Cedarbrook Lane, Linwood, NJ 08221 | 2007-03-20 |
| 1003983594 | Richard A Kader | Family Medicine | 1201 New Rd Ste 150a, Linwood, NJ 08221-1100 | 2006-11-29 |
| 1851825947 | Garden State Specialty Care, LLC | Family Medicine | 2106 New Rd Ste F1, Linwood, NJ 08221-1053 | 2017-04-14 |
| 1063708436 | Farrel Keith Silverman | Family Medicine | 1201 New Rd Ste 150a, Linwood, NJ 08221-1100 | 2011-06-23 |
| 1215190293 | L.c. Janes, D.o., P.C. | Family Medicine | 2106 New Rd, Suite D7, Linwood, NJ 08221-1046 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
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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.