JACK P DIMARCO (NPI# 1841234341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841234341 |
| Entity Type | Individual |
| Full Name | JACK P DIMARCO |
| Credential | M.D. |
| Practice Address |
1600 Haddon Ave Room 122 Camden NJ 08103-3101 |
| Mailing Address |
Po Box 8505 Cherry Hill NJ 08002-0505 |
| Practice Telephone | 8567573879 |
| Practice Fax Number | 8567573760 |
| Mailing Telephone | 8567551616 |
| Mailing Fax Number | 8567550098 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 25MA04166400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON NJ HEALTH | 1092688 | 01 |
| AETNA | 4197831 | 01 | |
| AMERIHEALTH / KEYSTONE | 0108561000 | 01 | |
| HEALTHNET | F01770E4 | 01 | |
| OXFORD | JS280 | 01 | |
| CIGNA | 0301021001 | 01 | |
| INDEPENDENCE BCBS | 484625 | 01 | |
| MHCS | 19071 | 01 | |
| NJ | 0348309 | 05 | |
| CCN | 853002 | 01 |
| Street Address |
1600 HADDON AVE ROOM 122 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1992306781 | Eric Rayburn | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-11-06 |
| 1508476177 | Georgeanne V Stilley | Clinical Nurse Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-08-07 |
| 1871125013 | Vanessa Lynn Klemas | Specialist/Technologist, Other | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-02-05 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| 1154964716 | Jaclyn Palmisano | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-25 |
| 1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1215401120 | Lindsay Szczerbinski | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-01-14 |
| 1366919789 | Kassandre King | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-24 |
| Find all providers in the same location | ||||
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770072027 | Jamie N Ravelli | Physical Medicine & Rehabilitation | 279 Melvin Heights Rd, Camden, ME 04843-4355 | 2018-05-02 |
| 1700830148 | Margaret A. Guest | Physical Medicine & Rehabilitation | 1600 Haddon Ave Rm 122, Camden, NJ 08103-3101 | 2006-05-20 |
| 1396196101 | Martin Douglas Weaver Jr. | Physical Medicine & Rehabilitation | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-06-23 |
| 1952647299 | Lourdes Medical Associates, Pa | Physical Medicine & Rehabilitation | 1600 Haddon Ave, Pm&r, Camden, NJ 08103-3101 | 2012-12-13 |
| 1003961368 | Adam Michael Schindelheim | Physical Medicine & Rehabilitation | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2007-01-24 |
| 1619066339 | Elliot B Bodofsky | Physical Medicine & Rehabilitation | 1 Cooper Plz, Suite 550, Camden, NJ 08103-1461 | 2006-10-12 |
| 1326148008 | Willa M Greenberg | Physical Medicine & Rehabilitation | 1 Cooper Plz, The Cooper Hospitalist Team, Camden, NJ 08103-1461 | 2006-09-23 |
| 1417968355 | Stephen J Cohen | Physical Medicine & Rehabilitation | 1 Cooper Plz, Suite 550, Camden, NJ 08103-1461 | 2006-08-09 |
| 1770526790 | William P Anthony | Physical Medicine & Rehabilitation | 1600 Haddon Ave, Room 122, Camden, NJ 08103-3101 | 2006-06-14 |
| 1881637965 | Edward J Gallagher | Physical Medicine & Rehabilitation | 1600 Haddon Ave, Room 122, Camden, NJ 08103-3101 | 2006-06-14 |
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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.