Jason J Supernavage (NPI# 1306992367, PAC ID# 8123053360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1306992367 |
| PAC ID by PECOS | 8123053360 |
| Professional Enrollment ID | I20051005000117 |
| Full Name | Jason J Supernavage |
| Organization Legal Name | BOSTON ASSOCIATES REHABILITATION LLC |
| Address |
53 S Broad St Penns Grove NJ 08069-2344 |
| Phone Number | 8562990456 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7618073016 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 53 S Broad St, Penns Grove, NJ 08069-2344 | 8562990456 | BOSTON ASSOCIATES REHABILITATION LLC |
| Organization Legal Name | BOSTON ASSOCIATES REHABILITATION LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle N Griscom | Physical Therapy | Boston Associates Rehabilitation LLC | 291 Harding Hwy, Suite 1, Carneys Point, NJ 08069-2229 |
| Monica T Thomas | Physical Therapy | Boston Associates Rehabilitation LLC | 291 Harding Hwy, Suite 1, Carneys Point, NJ 08069-2229 |
| Elizabeth C Diprimio | Occupational Therapy | Boston Associates Rehabilitation LLC | 53 S Broad St, Penns Grove, NJ 08069-2344 |
| Street Address |
53 S BROAD ST |
| City | PENNS GROVE |
| State | NJ |
| Zip | 08069-2344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Diprimio | Occupational Therapy | Boston Associates Rehabilitation LLC | 53 S Broad St, Penns Grove, NJ 08069-2344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvin I Stern | Optometry | 75 W Main St, Penns Grove, NJ 08069-1301 | |
| Danielle N Griscom | Physical Therapy | Boston Associates Rehabilitation LLC | 291 Harding Hwy, Suite 1, Carneys Point, NJ 08069-2229 |
| Monica T Thomas | Physical Therapy | Boston Associates Rehabilitation LLC | 291 Harding Hwy, Suite 1, Carneys Point, NJ 08069-2229 |
| John A Gagliardi | Chiropractic | 295 Shell Rd, Carneys Point, NJ 08069-2600 | |
| Jill C Ballenger | Nurse Practitioner | Vista Medical Services Inc | 449 S Pennsville-auburn Rd, Southgate Health Care Center, Carneys Point, NJ 08069-2691 |
| Nicole O Ibe | Nurse Practitioner | Vista Medical Services Inc | 449 S Pennsville-auburn Rd, Southgate Health Care Center, Carneys Point, NJ 08069-2691 |
| Tiffany Strothers-butler | Nurse Practitioner | Christiana Care Health Initiatives | 341 Shell Rd, Carneys Point, NJ 08069-2743 |
| Amira L Kummer | Nurse Practitioner | Christiana Care Health Initiatives | 341 Shell Rd, Carneys Point, NJ 08069-2743 |
| Craig B Quigley | Family Medicine | Christiana Care Health Initiatives | 341 Shell Rd, Carneys Point, NJ 08069-2743 |
| Dennis Graham | Neurology | 385 S Golfwood Ave, Carneys Point, NJ 08069-2833 | |
| Find all physicians in zip 08069 | |||
| City | PENNS GROVE |
| Zip Code | 08069 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PENNS GROVE + PHYSICAL THERAPY |
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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.