Jeffrey Blackman (NPI# 1538117908, PAC ID# 8628355773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1538117908 |
| PAC ID by PECOS | 8628355773 |
| Professional Enrollment ID | I20170427002324 |
| Full Name | Jeffrey Blackman |
| Organization Legal Name | ADVOCARE LLC |
| Address |
525 Route 73 S 104a Advocare South Jersey Sports and Spin Marlton NJ 08053-9643 |
| Phone Number | 8568749777 |
| Gender | M |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3678562188 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 525 Route 73 S 104a, Advocare South Jersey Sports and Spin, Marlton, NJ 08053-9643 | 8568749777 | ADVOCARE LLC |
| 269 Fish Pond Rd, Sewell, NJ 08080-3047 | 8568639999 | ADVOCARE LLC |
| Organization Legal Name | ADVOCARE LLC |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Marhefka | Nurse Practitioner | Advocare LLC | 400 Valley Rd, Suite 105, Mount Arlington, NJ 07856-2316 |
| Heather Stang | Physician Assistant | Advocare LLC | 169 Mine Brook Rd, Bernardsville, NJ 07924-2125 |
| Samuel Friedman | Family Medicine | Advocare LLC | 183 Us 206, Flanders, NJ 07836 |
| Bruce M Taubman | Pediatric Medicine | Advocare LLC | 600 Marlton Pike W, Advocare Cherry Hill Pediatrics, Cherry Hill, NJ 08002-3598 |
| Katherine Park | Certified Nurse Midwife (cnm) | Advocare LLC | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046-2852 |
| Denise Novaes | Pediatric Medicine | Advocare LLC | 77 Union St, Dover, NJ 07801-4030 |
| Jamie Zacharias | Internal Medicine | Advocare LLC | 409 Kings Hwy S, Advocare Allergy and Asthma, Cherry Hill, NJ 08034-2512 |
| Angela G Knestaut | Pediatric Medicine | Advocare LLC | 19 Village Ctr Dr, Swedesboro, NJ 08085-1417 |
| Brian J Portanova | Nurse Practitioner | Advocare LLC | 54 E Main St, Marlton, NJ 08053-2141 |
| Victoria L Calendo | Nurse Practitioner | Advocare LLC | 1300 Black Horse Pike, Glendora, NJ 08029-1308 |
| Street Address |
525 ROUTE 73 S 104A ADVOCARE SOUTH JERSEY SPORTS AND SPIN |
| City | MARLTON |
| State | NJ |
| Zip | 08053-9643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meryl Y Stein | Physical Medicine and Rehabilitation | Advocare LLC | 525 Route 73 S 104a, Advocare South Jersey Sports and Spin, Marlton, NJ 08053-9643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
| Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
| Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Find all physicians in zip 08053 | |||
| City | MARLTON |
| Zip Code | 08053 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MARLTON + PEDIATRIC MEDICINE |
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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.