Nicole Brandt-park (NPI# 1417419797, PAC ID# 4789918202) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417419797 |
| PAC ID by PECOS | 4789918202 |
| Professional Enrollment ID | I20190702003024 |
| Full Name | Nicole Brandt-park |
| Organization Legal Name | SUNSET ROAD MEDICAL ASSOC PA |
| Address |
911 Sunset Rd Burlington NJ 08016-2250 |
| Phone Number | 6093878787 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436244217 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310061 | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 911 Sunset Rd, Burlington, NJ 08016-2250 | 6093878787 | SUNSET ROAD MEDICAL ASSOC PA |
| Organization Legal Name | SUNSET ROAD MEDICAL ASSOC PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriella L D'ambrosio | Physician Assistant | Sunset Road Medical Assoc Pa | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| Albert A Talone | Family Medicine | Sunset Road Medical Assoc Pa | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| Street Address |
911 SUNSET RD |
| City | BURLINGTON |
| State | NJ |
| Zip | 08016-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriella L D'ambrosio | Physician Assistant | Sunset Road Medical Assoc Pa | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| Andrew J Blank | Family Medicine | 911 Sunset Rd, Burlington, NJ 08016-2250 | |
| Albert A Talone | Family Medicine | Sunset Road Medical Assoc Pa | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| Scott A. Modena | Gastroenterology | The Gastroenterology Group, P.a. | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| John A Yulo | Physical Medicine and Rehabilitation | 911 Sunset Rd, Burlington, NJ 08016-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chetna Tailor | Nurse Practitioner | Jefferson University Physicians of New Jersey PC | 309 W Broad St, Burlington City, NJ 08016-1343 |
| James Michael Galgano | Chiropractic | 321 W Broad St, Burlington, NJ 08016-1343 | |
| Tatyana N. Aliferova | Internal Medicine | Jefferson University Physicians of New Jersey PC | 309 W Broad St, Burlington City, NJ 08016-1343 |
| Anthony Cordisco | Podiatry | 1105 Sunset Rd, Burlington, NJ 08016-2290 | |
| Sheena M Latorre | Optometry | Robert D. Levy PC | 4423 Route 130 S, Burlington, NJ 08016-2385 |
| Julie B Greenberg | Optometry | Robert D. Levy PC | 4423 Route 130 S, Burlington, NJ 08016-2385 |
| Max D Sarver | Optometry | Robert D. Levy PC | 4423 Route 130 S, Burlington, NJ 08016-2385 |
| Robert D Levy | Optometry | Robert D. Levy PC | 4423 Route 130 S, Burlington, NJ 08016-2385 |
| Sarah Mccarthy | Nurse Practitioner | Southern Jersey Family Medical Centers, Inc | 651 High St, Burlington City, NJ 08016-2737 |
| Shayan Khorsandi | Obstetrics/gynecology | Southern Jersey Family Medical Centers, Inc | 651 High St, Burlington City, NJ 08016-2737 |
| Find all physicians in zip 08016 | |||
| City | BURLINGTON |
| Zip Code | 08016 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BURLINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole Brandt-park.
| 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.