Mark Ayzenberg (NPI# 1144563818, PAC ID# 0749531242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1144563818 |
| PAC ID by PECOS | 0749531242 |
| Professional Enrollment ID | I20190925001929 |
| Full Name | Mark Ayzenberg |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Address |
800 Jessup Rd Suite 809 West Deptford NJ 08086-9354 |
| Phone Number | 8566901616 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 1557388436 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| Address | Phone | Organization |
|---|---|---|
| 298 S Delsea Dr, Vineland, NJ 08360-4568 | 8566901616 | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| 800 Jessup Rd, Suite 809, West Deptford, NJ 08086-9354 | 8566901616 | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eliza Jill Ermold | Occupational Therapy | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 330 Front St, Elmer, NJ 08318-2143 |
| Peter A Sarkos | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Bruce A. Monaghan | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 800 Jessup Rd, Suite 809, West Deptford, NJ 08086-9354 |
| Danielle K Francis | Physician Assistant | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 298 S Delsea Dr, Vineland, NJ 08360-4568 |
| Jayme White | Physician Assistant | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 298 S Delsea Dr, Vineland, NJ 08360-4568 |
| David A Bundens | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 298 S Delsea Dr, Vineland, NJ 08360-4568 |
| Eddie S Wu | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Chiara Mariani | Physical Medicine and Rehabilitation | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Rahul V Shah | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Laurence Fitzhenry | Physical Medicine and Rehabilitation | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 298 S Delsea Dr, Vineland, NJ 08360-4568 |
| Street Address |
800 JESSUP RD SUITE 809 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip | 08086-9354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce A. Monaghan | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 800 Jessup Rd, Suite 809, West Deptford, NJ 08086-9354 |
| Craig Rosen | Orthopedic Surgery | Cooper Bone and Joint At Inspira Woodbury | 800 Jessup Rd, Suite 809, West Deptford, NJ 08086-9354 |
| Dolores M Mclaughlin | Physical Therapy | Cooper Bone and Joint At Inspira Woodbury | 800 Jessup Rd, Suite 809, West Deptford, NJ 08086-9354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan S Kagel | Psychologist, Clinical | Jessup Rd, Suite 808, Thorofare, NJ 08086 | |
| Jessica L Bryson | Physician Assistant | Cmc Department of Medicine Group Pa | 196 Grove Ave C, West Deptford, NJ 08086-2139 |
| Ann E Atkinson | Optometry | 196 Grove Ave D, West Deptford, NJ 08086-2139 | |
| Susan I Moreno | Physical Medicine and Rehabilitation | 196 Grove Ave, Suite E, West Deptford, NJ 08086-2139 | |
| David A Laskin | Internal Medicine | Laskin and Higgins Internal Medicine LLC | 400 Grove Rd, West Deptford, NJ 08086-2230 |
| Brian K Homan | Physical Therapy | 82 Pelican Pl, West Deptford, NJ 08086-2242 | |
| Gerard J Burns Ii | Internal Medicine | 84 Tarragon Ct, West Deptford, NJ 08086-2420 | |
| Vincent A Jarrett | Diagnostic Radiology | 204 Grove Ave F, West Deptford, NJ 08086-2557 | |
| Joseph A Megara Iii | Podiatry | 204 Grove Ave, Suite G, West Deptford, NJ 08086-2557 | |
| Shannin D Lewis | Pain Management | 204 Grove Ave, Suite C, West Deptford, NJ 08086-2557 | |
| Find all physicians in zip 08086 | |||
| City | WEST DEPTFORD |
| Zip Code | 08086 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WEST DEPTFORD + ORTHOPEDIC SURGERY |
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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.