Anisha L Roussel

MD | Pediatrics | Female

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Complete Profile:

Anisha L Roussel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Anisha L Roussel
Credential :	MD
Gender :	Female

Business Address:

Anisha L Roussel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1601 Haddon Ave Camden, NJ, 08103 United States
Phone Number :	856-757-3700
Fax Number :	856-365-7972

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1558349597
NPI Entity Type :	Individual
First Enrolment Date :	09 Jan, 2006
Last Updated On :	17 Feb, 2021

Medicare Participation:

Anisha L Roussel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7911166384
Medicare Enrollment ID :	I20120306000125
Primary Specialty :	Pediatric Medicine
Medical School :	Louisiana State University School Of Medicine In Shreveport
Graduation Year :	1999
Accepts Medicare?	Yes. Anisha L Roussel accepts medicare insurance.

Group Practice Association:

Anisha L Roussel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Anisha L Roussel is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Osborn Family Health Center Inc	1658681184	11	1601 Haddon Ave Camden, NJ - 081033109 Ph: 8567573700	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anisha L Roussel are as mentioned. Primary taxonomy code for Anisha L Roussel, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	25MA07242200	NJ

Legacy Identifiers:

Other legacy medical identifiers of Anisha L Roussel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
8844704	MEDICAID	NJ

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	301 Lippincott Dr Ste 410 Marlton, NJ, 08053-4197 United States
Phone Number :	856-355-0340
Fax Number :	856-355-0330

Business Location:

Patients can refer following map for directions to Anisha L Roussel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.