Charles Andrew Kistler (NPI# 1568728871, PAC ID# 8426280413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1568728871 |
| PAC ID by PECOS | 8426280413 |
| Professional Enrollment ID | I20170201001033 |
| Full Name | Charles Andrew Kistler |
| Organization Legal Name | DIMARINO KROOP PRIETO GASTROINTESTINAL ASSOCIATES PA |
| Address |
26 E Red Bank Ave Woodbury NJ 08096-1611 |
| Phone Number | 8568484464 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 8325933906 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| 390223 | PENN PRESBYTERIAN MEDICAL CENTER |
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310038 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 | 2159556161 | METHODIST ASSOCIATES IN HEALTHCARE INC |
| 2301 S Broad St, Philadelphia, PA 19148-3542 | METHODIST ASSOCIATES IN HEALTHCARE INC | |
| 2301 S Broad St, Suite 102, Philadelphia, PA 19148-3542 | 2159525175 | METHODIST ASSOCIATES IN HEALTHCARE INC |
| 26 E Red Bank Ave, Woodbury, NJ 08096-1611 | 8568484464 | DIMARINO KROOP PRIETO GASTROINTESTINAL ASSOCIATES PA |
| Organization Legal Name | DIMARINO KROOP PRIETO GASTROINTESTINAL ASSOCIATES PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin Lloyd Smith | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Nicholas T Orfanidis | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Andrew Richard Dargan | Internal Medicine | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Aarati B Malliah | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Lisa R Rahaim | Nurse Practitioner | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Street Address |
26 E RED BANK AVE |
| City | WOODBURY |
| State | NJ |
| Zip | 08096-1611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin Lloyd Smith | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Nicholas T Orfanidis | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Andrew Richard Dargan | Internal Medicine | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Aarati B Malliah | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Lisa R Rahaim | Nurse Practitioner | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Burgess | Registered Dietitian Or Nutrition Professional | Sherwood Mews, Suite 831, West Deptford, NJ 08096 | |
| Christopher Hennessey | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Nicholas M Kaffl | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Evan D O'brien | Orthopedic Surgery | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Antonino Insana | Emergency Medicine | Emergency Care Services of New Jersey Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Afaf Anter | Hospitalist | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Mark A Thomas | Hospitalist | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Andre C Gabriel | Internal Medicine | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Okebugwu Kamalu | Hospitalist | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Gina L Christaldi | Nurse Practitioner | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Find all physicians in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WOODBURY + GASTROENTEROLOGY |
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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.