Shanda Iona Moore (NPI# 1346505302, PAC ID# 2668629411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346505302 |
| PAC ID by PECOS | 2668629411 |
| Professional Enrollment ID | I20120829000682 |
| Full Name | Shanda Iona Moore |
| Organization Legal Name | HAMILTON CARDIOLOGY ASSOCIATES, PA |
| Address |
2073 Klockner Rd Hamilton NJ 08690-3414 |
| Phone Number | 6095841212 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284629932 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310021 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3242 Route 206, Bldg A, Bordentown, NJ 08505-4517 | 6092984340 | VIRTUA MEDICAL GROUP, PA |
| 2073 Klockner Rd, Hamilton, NJ 08690-3414 | 6095841212 | HAMILTON CARDIOLOGY ASSOCIATES, PA |
| 175 Madison Ave, Mount Holly, NJ 08060-2038 | VIRTUA MEDICAL GROUP, PA |
| Organization Legal Name | HAMILTON CARDIOLOGY ASSOCIATES, PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lei Tang | Nurse Practitioner | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Karen J Benedetti Colter | Physician Assistant | Hamilton Cardiology Associates, Pa | 1262 B Whitehorse Hamilton Square Rd, Hamilton, NJ 08690-3414 |
| Ronald G Ryder | Cardiovascular Disease (cardiology) | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Ilya Genin | Cardiovascular Disease (cardiology) | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Mahmoud S Ghusson | Cardiovascular Disease (cardiology) | Hamilton Cardiology Associates, Pa | 5 Plainsboro Rd, Plainsboro, NJ 08536-1915 |
| Bora Toklu | Interventional Cardiology | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Sanjukta Sanyal | Cardiac Electrophysiology | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Jay K Patel | Interventional Cardiology | Hamilton Cardiology Associates, Pa | 5 Plainsboro Rd, Plainsboro, NJ 08536-1915 |
| Diane Marolda | Nurse Practitioner | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Street Address |
2073 KLOCKNER RD |
| City | HAMILTON |
| State | NJ |
| Zip | 08690-3414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lei Tang | Nurse Practitioner | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Ronald G Ryder | Cardiovascular Disease (cardiology) | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Ilya Genin | Cardiovascular Disease (cardiology) | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Bora Toklu | Interventional Cardiology | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Soheir F Ghusson | Infectious Disease | 2073 Klockner Rd, Hamilton, NJ 08690-3414 | |
| Sanjukta Sanyal | Cardiac Electrophysiology | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Diane Marolda | Nurse Practitioner | Hamilton Cardiology Associates, Pa | 2073 Klockner Rd, Hamilton, NJ 08690-3414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton Baney | Chiropractic | 801 Hughes Dr, Hamilton, NJ 08690-1207 | |
| Chris Peterson | Chiropractic | 801 Hughes Dr, Corrective Care Chiropractic, Hamilton, NJ 08690-1207 | |
| William A Foote | Podiatry | 292 Hughes Dr, Hamilton Square, NJ 08690-1323 | |
| Normy Dessalines | Internal Medicine | 106 Miry Brook Rd, Ofc, Hamilton, NJ 08690-1525 | |
| Ekta Modi | Physical Therapy | Healing Rehab LLC | 2277 Route 33, Suite 411, Hamilton, NJ 08690-1700 |
| Neelima Vudarla | Internal Medicine | 2277 State Hwy 33, C 409, Hamilton, NJ 08690-1700 | |
| Giacomo Mangiaracina | Internal Medicine | 1501 Hwy 33, Hamilton, NJ 08690-1705 | |
| George T Rabito | Chiropractic | 2131 Hwy 33, Hamilton Square, NJ 08690-1740 | |
| Sadia I Qazi | Internal Medicine | 1800 Hwy 33, Suite 101 B1, Hamilton, NJ 08690-1746 | |
| James C Ricketti | Podiatry | 2273 Hwy 33, Suite 204, Hamilton Square, NJ 08690-1747 | |
| Find all physicians in zip 08690 | |||
| City | HAMILTON |
| Zip Code | 08690 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HAMILTON + NURSE PRACTITIONER |
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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.