LAURA ANNE MALFITANO (NPI# 1922094242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094242 |
| Entity Type | Individual |
| Full Name | LAURA ANNE MALFITANO |
| Credential | DO |
| Practice Address |
457 Jack Martin Blvd Brick NJ 08724-7776 |
| Practice Telephone | 7328407500 |
| Practice Fax Number | 7328402088 |
| Mailing Telephone | 7328407500 |
| Mailing Fax Number | 7328402088 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
71733 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE LEGACY # | 092162CKF | 01 |
| NJ | MEDICARE RAILROAD | P00231417 | 01 |
| Street Address |
457 JACK MARTIN BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838950 | Lindsay Marie Scala | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2019-12-19 |
| 1841785672 | Lauren Tagle | Nurse Practitioner | 457 Jack Martin Blvd, Brick, NJ 08724 | 2018-06-25 |
| 1902398753 | Brianna Christine Dziedzic | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724 | 2018-06-06 |
| 1962990804 | Rothman Institute of New Jersey P A | Orthopaedic Surgery | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2018-04-26 |
| 1245738608 | Jocelyn Rosalie Bixler | Physical Therapist | 457 Jack Martin Blvd, Brick, NJ 08724 | 2018-01-31 |
| 1225554504 | Kelly Haspel | Physical Medicine & Rehabilitation | 457 Jack Martin Blvd, Brick, NJ 08724 | 2017-08-17 |
| 1578932174 | Britta Millan | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724 | 2015-09-24 |
| 1871909119 | Kristen Forsyth | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2014-07-08 |
| 1972916021 | Leigh Ann Frye | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2014-06-06 |
| 1093125528 | Peter Syp | Physical Therapist | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2014-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648785 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 22 Madison Ave Ste 202, Paramus, NJ 07652-2721 | 2018-11-19 |
| 1932643392 | Institute for Hand and Arm Surgery | Orthopaedic Surgery | 345 Main St Ste 202, Madison, NJ 07940-2339 | 2016-12-05 |
| 1902226673 | Jeremy Ruskin | Orthopaedic Surgery | 234 Industrial Way W Ste B-200, Eatontown, NJ 07724-4244 | 2014-04-22 |
| 1386067130 | Virtua Medical Group, Pa | Orthopaedic Surgery | 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 | 2014-01-30 |
| 1316368012 | Virtua Medical Group, Pa | Orthopaedic Surgery | 200 Bowman Dr Ste E140, Voorhees, NJ 08043-9631 | 2013-12-23 |
| 1417219619 | Virtua Medical Group, Pa | Orthopaedic Surgery | 100 Kings Way E Ste D3a, Sewell, NJ 08080-2237 | 2012-06-13 |
| 1063788958 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 33-41 Newark St, Hoboken, NJ 07030-5627 | 2012-03-26 |
| 1255635272 | Deidre Bielicka | Orthopaedic Surgery | 629 Cranbury Rd, East Brunswick, NJ 08816-4096 | 2011-01-05 |
| 1871804880 | Rosemary Yi | Orthopaedic Surgery | 620 Essex Street, Suite 202, Harrison, NJ 07029-2134 | 2010-06-24 |
| 1821232133 | Janet Han Yueh | Orthopaedic Surgery | 113 W Essex St Ste 202, Maywood, NJ 07607-1023 | 2009-04-30 |
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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.