Joseph Derose (NPI# 1003158247, PAC ID# 6507133832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1003158247 |
| PAC ID by PECOS | 6507133832 |
| Professional Enrollment ID | I20190530002558 |
| Full Name | Joseph Derose |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Address |
151 Fries Mill Rd Suite 100 Turnersville NJ 08012-2016 |
| Phone Number | 8565663190 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2013 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 2860616877 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 | 8565663190 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 709 Haddonfield Berlin Rd, Voorhees, NJ 08043-3715 | 8565663190 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria L Jackson | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Jodie Black | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 205 E Laurel Rd, Stratford, NJ 08084-1301 |
| William Ross Green | Radiation Oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Ashley Ferris | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 400 Medical Ctr Dr, Suite F, Sewell, NJ 08080-2362 |
| Nina Lane | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 18 E Laurel Rd, Stratford, NJ 08084-1327 |
| Deborah A Ubele | Family Medicine | Kennedy Medical Group Practice, P.C. | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 |
| Rosemary A Decicco | Physician Assistant | Kennedy Medical Group Practice, P.C. | 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2223 |
| Duane R Monteith | Thoracic Surgery | Kennedy Medical Group Practice, P.C. | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 |
| Jennifer E Hummel | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 165 Princeton Ave, West Deptford, NJ 08096-3123 |
| Lisa C Dimedio | Internal Medicine | Kennedy Medical Group Practice, P.C. | 1 Regulus Dr A, Turnersville, NJ 08012-2427 |
| Street Address |
151 FRIES MILL RD SUITE 100 |
| City | TURNERSVILLE |
| State | NJ |
| Zip | 08012-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Mccann | Physical Therapy | Cross Keys Physical Therapy Sports Medicine Center Inc. | 151 Fries Mill Rd, Suite 1, Turnersville, NJ 08012-2016 |
| Marc H Michelson | Internal Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| Manoucheka Emmanuel | Clinical Social Worker | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| Eric Jay Kaminetsky | Family Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| David Anselmo | Physical Therapy | Cross Keys Physical Therapy Sports Medicine Center Inc. | 151 Fries Mill Rd, Suite 1, Turnersville, NJ 08012-2016 |
| Crystal Rivell | Family Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| Mariana Raquel Kuperman | Family Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 |
| Maureen Hughes-brown | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 |
| David V Condoluci | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Andro T. Zangaladze | Neurology | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 102, Turnersville, NJ 08012-2056 |
| 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 | INFECTIOUS DISEASE |
| City + Specialty | TURNERSVILLE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Joseph Derose.
| 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.