Professional Service Fund of Deborah- Anesthesia
Organization Active NPI Specialist · Browns Mills, NJ
NPI 1902852015 · NPPES record last updated Mar 26, 2009
Key facts
- NPI
- 1902852015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA
- Practice address
- 200 Trenton Rd
Browns Mills, NJ 08015-1705 - Phone
- (609) 893-1200
- Fax
- (609) 735-0175
- NPI assigned
- May 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PROFESSIONAL SERVICE FUND OF DEBORAH
Authorized official
- Name
- Gail Caton
- Title
- Credentialing
- Phone
- (609) 893-1200
Practitioners 279
-
Brian Ahern, APN-A
-
Shawn A Cavalier, CRNA
-
Karen K Chmielewski, CRNA
-
Jeffrey Adam Fehder, APN-CRNA
-
Sarpreet Gurm, CRNA
-
Douglas James Hurley, APN
-
Yolanda Lee, CRNA
-
Dennis McFadden, CRNA
-
Michelle Medina, CRNA
-
Karen Diane Meisberger, CRNA
-
Michael Neary, MD
-
Julia M Pierce, CRNA
-
Achillina Rianto, MD
-
Matthew Paul Rowley Jr., CRNA
-
John E Safaryn, M.D.
-
Dejan Vuckovic, M.D.
-
Kristen L Brake, CRNA
-
Xin Liu, M.D.
-
Ryan C Bowers, C.R.N.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050616000283 | NJ | Part B Supplier - Clinic/Group Practice | 9133163504 |
Receives reassigned benefits from 58 practitioners Practice locations: Browns Mills, NJ |
National Provider Directory
- Part of
- Maria L Mendonca Collit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
200 Trenton Rd
Browns Mills, NJ 08015-1705
Mailing address
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3253708 | Medicaid | NJ |
Other names
- Professional Service Fund of Deborah Anesthesia
Other providers in Browns Mills, NJ
- John Power
- Power'S Pharmacy Inc.
- Powers Pharmacy Inc
- Prime Health Medical, Inc.
- Professional Service Fund of Deborah Heart & Lung Center
- Andrew Prol
- Nicole Pryor
- William W Qiu
- Joey Lynn Rasile
- Muhammad Raza
All providers in Browns Mills, NJ · Specialist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.