Khoa M Nguyen (NPI# 1487948071, PAC ID# 6901193077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1487948071 |
| PAC ID by PECOS | 6901193077 |
| Professional Enrollment ID | I20170628002951 |
| Full Name | Khoa M Nguyen |
| Organization Legal Name | BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA |
| Address |
2059 Briggs Rd Suite 304 Mount Laurel NJ 08054-4640 |
| Phone Number | 8562357080 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6103818976 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| 310031 | DEBORAH HEART AND LUNG CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2059 Briggs Rd, Suite 304, Mount Laurel, NJ 08054-4640 | 8562357080 | BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA |
| Organization Legal Name | BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark G Schwartz | Orthopedic Surgery | Burlington County Orthopaedic Specialists Pa | 1 Sheffield Dr, Suite 102, Columbus, NJ 08022-9506 |
| Daniel Bartolomeo | Physician Assistant | Burlington County Orthopaedic Specialists Pa | 1 Sheffield Dr, Suite 102, Columbus, NJ 08022-9506 |
| Andrea L Bowers | Orthopedic Surgery | Burlington County Orthopaedic Specialists Pa | 1 Sheffield Dr, Suite 102, Columbus, NJ 08022-9506 |
| Elizabeth B Demara | Physician Assistant | Burlington County Orthopaedic Specialists Pa | 1 Sheffield Dr, Suite 102, Columbus, NJ 08022-9506 |
| Street Address |
2059 BRIGGS RD SUITE 304 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-4640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MOUNT LAUREL + ORTHOPEDIC SURGERY |
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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.