Trent Richard Malcolm (NPI# 1700129301, PAC ID# 4789824293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700129301 |
| PAC ID by PECOS | 4789824293 |
| Professional Enrollment ID | I20180906003341 |
| Full Name | Trent Richard Malcolm |
| Organization Legal Name | EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY PC |
| Address |
435 Hurffville Cross Keys Rd Turnersville NJ 08012-2453 |
| Phone Number | 8565822816 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5294648457 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 8565822816 | EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY PC |
| Organization Legal Name | EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY PC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott V Dickson | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 218 Sunset Rd A, Willingboro, NJ 08046-1110 |
| Daniel L Herriman | Internal Medicine | Emergency Physician Associates of South Jersey PC | 100 Townsend Ave, Berlin, NJ 08009-9011 |
| Kevin T Dwyer | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Jerry P Milas | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 90 Brick Rd, Marlton, NJ 08053-2177 |
| Razwana Wahdat | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 100 Bowman Dr, Voorhees, NJ 08043-9619 |
| Donald R Keir | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 218 Sunset Rd A, Willingboro, NJ 08046-1110 |
| Douglas Stranges | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 100 Bowman Dr, Voorhees, NJ 08043-9619 |
| David Goldberg | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 90 Brick Rd, Marlton, NJ 08053-2177 |
| Ramy Saleh | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 90 Brick Rd, Marlton, NJ 08053-2177 |
| Joseph C Hummel | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 100 Townsend Ave, Berlin, NJ 08009-9011 |
| Street Address |
435 HURFFVILLE CROSS KEYS RD |
| City | TURNERSVILLE |
| State | NJ |
| Zip | 08012-2453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria L Jackson | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Mahbubur R Siddique | Internal Medicine | Advocare LLC | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Bradley Foster Bender | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Erin M Caruso | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Marc Thomas Mongeau | Pulmonary Disease | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Kevin T Dwyer | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Hasan Ehsan | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Maher Al-safadi | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Nicole Thompson | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Ian Jacobi | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Cameron | Registered Dietitian Or Nutrition Professional | 5070 Rte, 42 Top Floor, Turnersville, NJ 08012 | |
| Tamara M Fisicaro | Internal Medicine | Advocare LLC | 527 S Black Horse Pke, Blackwood, NJ 08012 |
| Jo Ann M Cannon | Psychologist, Clinical | 4551 Route 42 4, Turnersville, NJ 08012 | |
| Theodore G Koerner | Family Medicine | 4911 Black Horse Pike, Turnersville, NJ 08012-0877 | |
| Sheri L Dempsey | Physical Therapy | 501 Route 168, Blackwood, NJ 08012-1458 | |
| Michael J Miranda | Chiropractic | 501 Route 168, Turnersville, NJ 08012-1458 | |
| Heather M Sterling | Chiropractic | 180 Greentree Rd, Turnersville, NJ 08012-1568 | |
| John P Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Karen E Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Joseph A Midili | Chiropractic | 133 Ganttown Rd, Turnersville, NJ 08012-1676 | |
| Find all physicians in zip 08012 | |||
| City | TURNERSVILLE |
| Zip Code | 08012 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TURNERSVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Trent Richard Malcolm.
| 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.