Provider Demographics
NPI:1467505131
Name:PARTNOW, MICHAEL JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JEFFREY
Last Name:PARTNOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1761
Mailing Address - Country:US
Mailing Address - Phone:856-796-9200
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:231 VAN SCIVER PARKWAY
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1132
Practice Address - Country:US
Practice Address - Phone:609-871-7500
Practice Address - Fax:609-871-6026
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA025906002084N0400X, 2085D0003X
PAMD014083E2084N0400X, 2085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
0082213000OtherAMERIHEALTH
NJ0573507Medicaid
130008215OtherRAILROAD MEDICARE
80551OtherAMERIGROUP
F05770OtherHEALTH NET
0479227002OtherCIGNA
NJ1043873OtherHORIZON NJ HEALTH
14908OtherUNIVERSITY HEALTH PLAN
0030223OtherAETNA HMO
NJBU000006900OtherAMERICHOICE
3099884OtherGHI
363582900OtherUS DEPT OF LABOR W
NJ000129273OtherPA BLUE SHIELD
4090958OtherAETNA MANAGED CARE PPO
0082213000OtherKEYSTONE HPE
1399566OtherUNITED HEALTHCARE
BNS141OtherOXFORD
1399566OtherUNITED HEALTHCARE