Premier Orthopaedic & Sports Medicine Assoc of Southern NJ LLC
A Medicare group practice based in Vineland, NJ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1557388436), with 43 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557388436
- Also listed as
- Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC
- Provider type
- DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 4
- Group size
- 36 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 12
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20051031000150 | NJ | Part B Supplier - Clinic/Group Practice | 1396812574 |
| O20180809004403 | NJ | DME Supplier - Physician - General Practice | 1396812574 |
| O20180809004363 | NJ | DME Supplier - Physician - General Practice | 1912493610 |
| O20200616003231 | NJ | DME Supplier - Physician - General Practice | 1376164400 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Premier Orthopaedic & Sports Medicine Assoc of Southern NJ LLC
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1376164400
-
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1396812574
-
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC
- Orthopaedic Surgery Physician
- Elmer, NJ
- NPI 1912493610
Practice locations
- Vineland, NJ4
- Mullica Hill, NJ3
- Elmer, NJ2
- Cherry Hill, NJ1
- West Deptford, NJ1
- Sewell, NJ1
Clinicians 43
Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (36).
-
Mohamed Albana, DO
- Adult Reconstructive Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1639661762
-
Mark Ayzenberg, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Huntingdon Valley, PA
- NPI 1144563818
-
Justin Baglivo
- Physical Therapist
- Vineland, NJ
- NPI 1053072488
-
Christian Michael Brenner II, PA-C, ATC
- Surgical Physician Assistant
- Vineland, NJ
- NPI 1811214638
-
David A Bundens, MD
- Orthopaedic Surgery Physician
- West Deptford, NJ
- NPI 1154321701
-
John Brian Catalano, MD
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1659446607
-
Jessica Checinski, MSOT, OTR/L
- Occupational Therapist
- Vineland, NJ
- NPI 1699346080
-
Jason Clapper, PA-C
- Physician Assistant
- Moorestown, NJ
- NPI 1487386280
-
Kaitlin Connelly, PA-C
- Medical Physician Assistant
- Vineland, NJ
- NPI 1952646747
-
Niti D Cooper, DO
- Pain Medicine (Anesthesiology) Physician
- Vineland, NJ
- NPI 1881859080
-
Nicholas D Dignazio, PA-C
- Physician Assistant
- Vineland, NJ
- NPI 1942565528
-
Vincent Disabella, DO
- Sports Medicine (Internal Medicine) Physician
- Vineland, NJ
- NPI 1487632170
-
Justin D Ditheodore, PT
- Physical Therapist
- Vineland, NJ
- NPI 1073836656
-
Richard Charles Diverniero, MD
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1609941657
-
Thomas Andrew Dwyer, MD
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1972678027
-
Eliza Ermold, OTR/L
- Occupational Therapist
- Vineland, NJ
- NPI 1255457651
-
Robert Paul Falconiero, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- Vineland, NJ
- NPI 1376500967
-
John B Ferraro, PA-C
- Surgical Physician Assistant
- Vineland, NJ
- NPI 1891158531
-
Laurence N Fitzhenry IV, M.D.
- Pain Medicine (Anesthesiology) Physician
- Vineland, NJ
- NPI 1275745655
-
Danielle K Francis, P.A.
- Surgical Physician Assistant
- Vineland, NJ
- NPI 1033447792
-
Rachel M Gavigan, OT
- Occupational Therapist
- Vineland, NJ
- NPI 1396308029
-
John W Graham, PT
- Orthopedic Physical Therapist
- Vineland, NJ
- NPI 1821032095
-
Ian Ross Gray, PA-C
- Physician Assistant
- Vineland, NJ
- NPI 1346464971
-
Brandon Hadtke, PT
- Physical Therapist
- Vineland, NJ
- NPI 1699485532
-
Emily Elise Janco, OTD
- Occupational Therapist
- Mullica Hill, NJ
- NPI 1013665678
-
Mark K Levitsky, MD
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1962499012
-
Trina Marie Lisko, DO
- Physical Medicine & Rehabilitation Physician
- Vineland, NJ
- NPI 1457471377
-
Megan Macdonald, PT DPT
- Physical Therapist
- Mullica Hill, NJ
- NPI 1194233916
-
Benjamin Lee Marder, DPM
- Foot & Ankle Surgery Podiatrist
- Vineland, NJ
- NPI 1053706010
-
Chiara Mariani, MD
- Specialist
- Vineland, NJ
- NPI 1225222011
-
Fred McAlpin III, DO
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1396812632
-
Bruce A Monaghan, M.D.
- Orthopaedic Hand Surgery Physician
- Vineland, NJ
- NPI 1033117346
-
Andrew James Mostello, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- Vineland, NJ
- NPI 1124454822
-
Melissa Olaya, PT
- Physical Therapist
- Mullica Hill, NJ
- NPI 1003300328
-
Ravin Patel, DO
- Sports Medicine (Family Medicine) Physician
- Vineland, NJ
- NPI 1962039073
-
Peter Anthony Sarkos, D.O.
- Orthopaedic Hand Surgery Physician
- Vineland, NJ
- NPI 1174720536
-
Rahul V Shah, M.D.
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1235242934
-
Kimberley Yvette Smith, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Vineland, NJ
- NPI 1679648646
-
Jayme N White, PA-C
- Surgical Physician Assistant
- Moorestown, NJ
- NPI 1043597800
-
Eddie S Wu, D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1215182332
-
Christopher Zeck
- Physical Therapist
- Vineland, NJ
- NPI 1205597630
-
Joseph R Zerbo, D.O.
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1023021672
-
Adam Zucconi
- Family Medicine Physician
- Vineland, NJ
- NPI 1770837833
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.