Kevin James Roden (NPI# 1730154899, PAC ID# 0345386462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1730154899 |
| PAC ID by PECOS | 0345386462 |
| Professional Enrollment ID | I20120210000108 |
| Full Name | Kevin James Roden |
| Organization Legal Name | ISLAND SPORTS PHYSICAL THERAPY OF CORAM PC |
| Address |
607 Middle Country Rd Unit B Coram NY 11727-3362 |
| Phone Number | 6317323900 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406747526 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 607 Middle Country Rd, Unit B, Coram, NY 11727-3362 | 6317323900 | ISLAND SPORTS PHYSICAL THERAPY OF CORAM PC |
| Organization Legal Name | ISLAND SPORTS PHYSICAL THERAPY OF CORAM PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy W Maragioglio | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Unit B, Coram, NY 11727-3362 |
| Tyler Roden | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Unit B, Coram, NY 11727-3362 |
| Alexandra Totino | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Coram, NY 11727-3362 |
| Street Address |
607 MIDDLE COUNTRY RD UNIT B |
| City | CORAM |
| State | NY |
| Zip | 11727-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy W Maragioglio | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Unit B, Coram, NY 11727-3362 |
| Tyler Roden | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Unit B, Coram, NY 11727-3362 |
| Alexandra Totino | Physical Therapy | Island Sports Physical Therapy of Coram PC | 607 Middle Country Rd, Coram, NY 11727-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicodemo-capra | Physical Therapy | 2 Walton Way, Lighthouse Physical Pt PC, Coram, NY 11727-1001 | |
| Gregory T Anderson | Clinical Psychologist | 4 Walnut St, Coram, NY 11727-1453 | |
| Irene S Margolis | Clinical Social Worker | 13 Potomac Ct, Coram, NY 11727-1661 | |
| Lawrence Beck | Chiropractic | 999 Old Town Rd, Coram, NY 11727-1853 | |
| Aytac A Edwards | Clinical Social Worker | 1 Lake Placid Ct, Coram, NY 11727-2022 | |
| Howard Weinberg | Optometry | 1850 Route 112, Suite L, Coram, NY 11727-2232 | |
| Don J Moore Jr. | Chiropractic | 1970 Route 112, Suite 6, Coram, NY 11727-2300 | |
| Robert B Marder | Physical Therapy | 1844 Route 112, Suite A, Coram, NY 11727-2337 | |
| Robin B Moeller | Clinical Social Worker | Dawn Friedland-perez Lcsw,pc | 1844 Route 112, Suite A, Coram, NY 11727-2337 |
| Howard J Riesel | Clinical Social Worker | 1 Barone Dr, Coram, NY 11727-3082 | |
| Find all physicians in zip 11727 | |||
| City | CORAM |
| Zip Code | 11727 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CORAM + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.