MR. JOSEPH DANIEL MAMMANO


Address: 611 New Rd, Northfield, NJ 08225-1669
Phone: 6096451500

MR. JOSEPH DANIEL MAMMANO (NPI# 1851677678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851677678
Entity Type Individual
Full Name MR. JOSEPH DANIEL MAMMANO
Credential PHYSICIAN ASSISTANT
Practice Address 611 New Rd
Northfield
NJ 08225-1669
Mailing Address 925 Chestnut St
Fl 5
Philadelphia
PA 19107-4206
Practice Telephone 6096451500
Practice Fax Number 6096258245
Mailing Telephone 8003219999
Mailing Fax Number 2673393761
Enumeration Date 2011-10-25
Last Update Date 2016-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP00270300 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 611 NEW RD
City NORTHFIELD
State NJ
Zip Code 08225-1669

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730146846 Atlantic Shore Orthopaedic Associates, LLC Orthopaedic Surgery 611 New Rd, Northfield, NJ 08225-1652 2006-05-01
1578070827 Be Well Women's Health Obstetrics & Gynecology 611 New Rd, Northfield, NJ 08225-1669 2018-01-09
1518384403 Asoa Orthopaedic Surgery 611 New Rd, Northfield, NJ 08225-1696 2014-03-28
1497980148 Nancy Lynn Thurlow Physical Therapist 611 New Rd, Northfield, NJ 08225-1669 2009-05-26
1215161617 All Pro Physical Therapy Clinic/Center 611 New Rd, Northfield, NJ 08225-1669 2009-05-13
1528248366 Fox Ambulatory Physical Therapy LLC Clinic/Center 611 New Rd, Northfield, NJ 08225-1669 2007-11-09
1154530301 Adebola Nnewihe Obstetrics & Gynecology 611 New Rd, Northfield, NJ 08225-1669 2007-05-22
1023168697 Shannon Clifford Physical Therapist 611 New Rd, Northfield, NJ 08225-1669 2007-01-12
1740356484 Carole Sue Zawid Registered Nurse 611 New Rd, Ste 2, Northfield, NJ 08225-1669 2006-11-27
1508972183 Joseph S Harhay Orthopaedic Surgery 611 New Rd, Northfield, NJ 08225-1669 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679187629 Caryl Lynn Bochniak Nurse Practitioner 201 S Shore Rd, Northfield, NJ 08225 2020-09-06
1497306534 Melanie Fumosa Social Worker 561-563 Tilton Rd, Northfield, NJ 08225 2019-09-20
1912463944 Cheryl L Chiarello Counselor Legacy Treatment Services, 561 Tilton Road, Northfield, NJ 08225 2019-02-14
1477009322 S & H Rehabilitation Assoc Clinic/Center 331 Tilton Rd Suite 7, Northfield, ATLANTIC COUNTY 08225 2016-08-31
1326411364 Caringhouse Projects, Inc Respite Care 120 East Mill Road, Northfield, NJ 08225 2015-11-12
1255704672 Caringhouse Projects, Inc Respite Care 103 East Mill Road, Main Building, Northfield, NJ 08225 2015-11-06
1245646066 The Alcove Center for Grieving Children and Families, Inc Social Worker 376 Tilton Rd - Rear, Northfield, NJ 08225 2014-07-02
1053724799 Patricia Hogan Nurse Practitioner 1921 New Rd., Northfield, NJ 08225 2014-06-10
1811289481 Heidi Anne Schnorr-leavy Counselor 1637 New Rd Ste 2a, Northfield, NJ 08225 2011-05-13
1972798643 Abraham Abtahi Abtahian Internal Medicine 1001 New Road, Northfield, NJ 08225 2007-09-06
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659928067 Ashley Elizabeth Erichsen Physician Assistant 2000 North Ave, Northfield, MN 55057-1498 2019-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1407471493 Angelice Grasso Physician Assistant 3 Holly Ln, Garfield, NJ 07026-3565 2020-06-15
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
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Competitor

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City NORTHFIELD
Zip Code 08225

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Dataset Information

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.

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