ENGLEWOOD SURGICAL ASSOCIATES, PA (NPI# 1033156948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033156948 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD SURGICAL ASSOCIATES, PA |
| Practice Address |
375 Engle St Englewood NJ 07631-1823 |
| Practice Telephone | 2018940400 |
| Mailing Telephone | 2018940400 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | DR. BARRY SUSSMAN (PARTNER) |
| Authorized Official Telephone | 2018940400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA03498600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 25MA03498600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RRMEDICARE GROUP # | CF1739 | 01 |
| NJ | 8169403 | 05 |
| Street Address |
375 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511085 | Fred Wolodiger | Surgery | 375 Engle St, Englewood, NJ 07631-1823 | 2005-07-13 |
| 1598835522 | Sheera R Margolies | Social Worker | 375 Engle St, Englewood, NJ 07631-1823 | 2006-11-08 |
| 1992894091 | Northern Valley Oba, Pa | Anesthesiology | 375 Engle St, Second Floor, Englewood, NJ 07631-1823 | 2006-10-12 |
| 1801881487 | Barry Sussman | Surgery | 375 Engle St, Englewood, NJ 07631-1823 | 2005-09-20 |
| 1285632281 | Mark Kahn | Surgery | 375 Engle St, Englewood, NJ 07631-1823 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216990 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 601 E Hampden Ave Ste 250, Englewood, CO 80113-2781 | 2020-08-20 |
| 1881206803 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 701 E Hampden Ave Ste 210, Englewood, CO 80113-2737 | 2020-08-20 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1003343500 | Rachael Michele Galvin | Surgery | 601 E Hampden Ave # 220, Englewood, CO 80113-3781 | 2017-05-15 |
| 1194165662 | Mallory Meyer | Surgery | 601 E Hampden Ave Ste 470, Englewood, CO 80113-2797 | 2013-06-28 |
| 1659648780 | I M Ibrahim Md LLC | Surgery | 97 Engle St, Englewood, NJ 07631-2904 | 2011-11-17 |
| 1619280997 | Ahmed Mohamed Zihni | Surgery | 3333 S Bannock St Ste 350, Englewood, CO 80110 | 2010-07-15 |
| 1679899660 | Daine Thompson Bennett | Surgery | 401 W Hampden Pl Ste 210, Englewood, CO 80110-2473 | 2010-04-15 |
| 1023240785 | Krislyn N Miller | Surgery | 601 E Hampden Ave Ste 220, Englewood, CO 80113-3781 | 2009-08-13 |
| 1982806576 | Paul Terrence O'rourke | Surgery | 188 Inverness Drive W, Suite 500, Englewood, CO 80112 | 2007-06-05 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.