Tia Davis (NPI# 1871997833, PAC ID# 3577872431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1871997833 |
| PAC ID by PECOS | 3577872431 |
| Professional Enrollment ID | I20151016001031 |
| Full Name | Tia Davis |
| Organization Legal Name | MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC |
| Address |
1140 Black Oak Ridge Rd Wayne NJ 07470-6347 |
| Phone Number | 80037036511171 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2163691353 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Charles Ewing Blvd, Suite 160, Ewing, NJ 08628-3454 | 80037036511171 | MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC |
| 1140 Black Oak Ridge Rd, Wayne, NJ 07470-6347 | 80037036511171 | MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC |
| Organization Legal Name | MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Andres | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 100 Charles Ewing Blvd, Suite 160, Ewing, NJ 08628-3454 |
| Beatrice C Iloka | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 54 Sharp St N, Millville Center Snf, Millville, NJ 08332-2444 |
| Mahip Gupta | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 728 Bunn Dr, Princeton, NJ 08540-1963 |
| Jamie Grimes | Clinical Social Worker | Medop Behavioral Health Associates of New Jersey PC | 2303 W Bangs Ave, King Manor Care and Rehab Ctr, Neptune, NJ 07753-4111 |
| Ebele Ilogu | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 |
| Michele De Lorenzo | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 680 Mountain Blvd, Watchung, NJ 07069-6270 |
| Grant M Myers | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 201 New Rd, Linwood Care Center, Linwood, NJ 08221-1201 |
| April Waller Lomax | Psychologist, Clinical | Medop Behavioral Health Associates of New Jersey PC | 798 Willow Grove St, House of The Good Shepherd, Hackettstown, NJ 07840-1718 |
| Jouhaina Razzouk | Psychologist, Clinical | Medop Behavioral Health Associates of New Jersey PC | 467 Cooper St, Woodbury, NJ 08096-2519 |
| Victoria I Munoz | Nurse Practitioner | Medop Behavioral Health Associates of New Jersey PC | 3505 Bergen Turnpike, Hudson Hills Senior Living Snf, North Bergen, NJ 07047-2303 |
| Street Address |
1140 BLACK OAK RIDGE RD |
| City | WAYNE |
| State | NJ |
| Zip | 07470-6347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana Grintsvayg | Clinical Social Worker | 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470 | |
| Paul T Staunton | Podiatry | 11 Windsor Pl, Wayne, NJ 07470-1923 | |
| Greg Steven Trentacosta | Chiropractic | 1565 Ratzer Rd, Wayne, NJ 07470-1930 | |
| Susanna N Ho | Occupational Therapy | 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011 | |
| Lisa A Dragone | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Cherrielyn B Escono-quiambao | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Beatrice Carrillo | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Michael H. Leonardo | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Anthony Barravecchio | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Nafeesa Siddiqui | Psychiatry | 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025 | |
| Find all physicians in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WAYNE + CLINICAL SOCIAL WORKER |
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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.