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).
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 |
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 |
Street Address |
611 NEW RD |
City | NORTHFIELD |
State | NJ |
Zip Code | 08225-1669 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 08225 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659928067 | Ashley Elizabeth Erichsen | Physician Assistant | 2000 North Ave, Northfield, MN 55057-1498 | 2019-08-20 |
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 |
Find all providers with the same taxonomy |
City | NORTHFIELD |
Zip Code | 08225 |
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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.