DR. TATIANA GANDRABURA (NPI# 1861602740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861602740 |
| Entity Type | Individual |
| Full Name | DR. TATIANA GANDRABURA |
| Credential | M.D |
| Practice Address |
703 E Main St Moorestown NJ 08057-3082 |
| Mailing Address |
7000 Atrium Way Ste. 6 Mount Laurel NJ 08054-3917 |
| Practice Telephone | 8567270900 |
| Practice Fax Number | 8562318428 |
| Mailing Telephone | 8562064508 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA09181800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25MA09181800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
703 E MAIN ST |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369629 | Susan D Entmacher | Internal Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2005-07-12 |
| 1780973131 | Deborah Ceceila Masino Lentine | Nurse Practitioner | 703 E Main St, Advocare Heritage Family Medicine A, Moorestown, NJ 08057-3082 | 2011-04-06 |
| 1053589515 | Advocare, LLC | Family Medicine | 703 E Main St, Suite 9, Moorestown, NJ 08057-3082 | 2008-02-18 |
| 1033325444 | Vincent William Savarese | Internal Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2007-05-15 |
| 1598803793 | Endocrine Associates of South Jersey P C | Internal Medicine | 703 E Main St, Moorestown, NJ 08057 | 2007-02-01 |
| 1528118189 | John H Diepold Jr. | Psychologist | 703 E Main St, Victoria Medical Arts, East Bldg., 2nd Floor, Moorestown, NJ 08057-3082 | 2007-01-12 |
| 1447281985 | Family Medicine Associates, P.a. | Clinic/Center | 703 E Main St, Suite 9, Moorestown, NJ 08057-3082 | 2006-07-05 |
| 1932143161 | Marykay Maley | Nurse Practitioner | 703 E Main St, Moorestown, NJ 08057-3068 | 2006-06-16 |
| 1427091560 | David Scott Bechtel | Family Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2006-06-14 |
| 1003855982 | Joseph Henry Winston | Family Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1720227630 | Lourdes Medical Associates, Pa | Internal Medicine | 110 Marter Ave Ste 501, Moorestown, NJ 08057-3120 | 2009-02-17 |
| 1558369629 | Susan D Entmacher | Internal Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2005-07-12 |
| 1033325444 | Vincent William Savarese | Internal Medicine | 703 E Main St, Moorestown, NJ 08057-3082 | 2007-05-15 |
| 1598803793 | Endocrine Associates of South Jersey P C | Internal Medicine | 703 E Main St, Moorestown, NJ 08057 | 2007-02-01 |
| 1265469373 | Charles M Biddle Iv | Internal Medicine | 701 E Main St, Moorestown, NJ 08057-3032 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373645 | Freehold Rheumatology and Endocrinology LLC | Internal Medicine | 535 Iron Bridge Rd Ste 11, Freehold, NJ 07728-5301 | 2019-12-17 |
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| 1952871667 | Garger Center for Endocrinology PC | Internal Medicine | 10 Sycamore Ave Ste 1, Ho Ho Kus, NJ 07423-1588 | 2018-11-26 |
| 1962902189 | Mercer Endocrine Care LLC | Internal Medicine | 2139 Route 33 Ste A, Hamilton, NJ 08690-1751 | 2018-02-14 |
| 1144740739 | Clarion Technology LLC | Internal Medicine | 5000 Atrium Way Ste 3, Mount Laurel, NJ 08054-3915 | 2017-06-23 |
| 1295115277 | Mabel Mayorga | Internal Medicine | 401 Haddon Ave Fl 2, Camden, NJ 08103 | 2015-06-04 |
| 1265832463 | Elkin A Nunez Md, LLC | Internal Medicine | 213 Winding Hill Dr, Hackettstown, NJ 07840-5665 | 2014-08-26 |
| 1962812040 | Reem Taha | Internal Medicine | 2 Lincoln Hwy Ste 502, Edison, NJ 08820-3961 | 2014-04-29 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1811335433 | Taher Modarressi | Internal Medicine | 9100 Wescott Dr Ste 101, Flemington, NJ 08822 | 2013-06-05 |
| Find all providers with the same taxonomy | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
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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.