PONZIO MEDICAL ASSOCIATES (NPI# 1043455314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043455314 |
| Entity Type | Organization |
| Organization Name | PONZIO MEDICAL ASSOCIATES |
| Practice Address |
127 Pine St Suite 10 Montclair NJ 07042-4855 |
| Practice Telephone | 9737830073 |
| Practice Fax Number | 9737834010 |
| Mailing Telephone | 9737830073 |
| Mailing Fax Number | 9737834010 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |
| Authorized Official Name | GERALYN MICHELLE PONZIO (OWNER) |
| Authorized Official Telephone | 9737830073 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | 25MA07671800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
127 PINE ST SUITE 10 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796769 | Charles E Sagorin | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2005-08-02 |
| 1932509965 | Elise Carman, Md, PC | Obstetrics & Gynecology | 127 Pine St, Suite 10, Montclair, NJ 07042-4855 | 2014-08-27 |
| 1639418981 | Nicholas A. Cannarozzi, M.d., P.a. | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2013-02-06 |
| 1568776474 | F. Dana Fortunato Md Pa | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2010-08-03 |
| 1407095896 | Elise Carman Mdpc | Obstetrics & Gynecology | 127 Pine St, Suite 5, Montclair, NJ 07042-4855 | 2009-02-10 |
| 1194986943 | Charles S Goldberg Md Pa | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2008-06-24 |
| 1649487471 | Mark A. Fisher, Md, Pa | Obstetrics & Gynecology | 127 Pine St, Suite 5, Montclair, NJ 07042-4855 | 2007-05-17 |
| 1578677571 | William Clavis Warren | Dentist | 127 Pine St, Suite 3, Montclair, NJ 07042-4855 | 2006-08-18 |
| 1548278930 | Franklin Dana Fortunato | Internal Medicine | 127 Pine St, Montclair, NJ 07042 | 2006-08-03 |
| 1538190756 | Dora Pinky Barnes | Internal Medicine | 127 Pine St, Suite 10, Montclair, NJ 07042-4855 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285090019 | Rajitha Gujja Md, LLC | Internal Medicine | 239 Claremont Ave Ste A, Montclair, NJ 07042-2833 | 2016-01-09 |
| 1063815637 | Anupama Adlakha Md LLC | Internal Medicine | 5 Roosevelt Pl Ste B1, Montclair, NJ 07042-3366 | 2014-09-26 |
| 1538460498 | Lisa K. Cadoo | Internal Medicine | 66 Park St Ste 100, Montclair, NJ 07042-2988 | 2010-11-09 |
| 1134434079 | Joseph Barbagallo | Internal Medicine | 65 Union St, Suite 24, Montclair, NJ 07042-3378 | 2010-08-16 |
| 1205009073 | Ruth Winifred Grady | Internal Medicine | 42 N Fullerton Ave, Montclair, NJ 07042-3411 | 2008-04-11 |
| 1396939526 | Khai Do | Internal Medicine | 9880 Central Ave, Montclair, CA 91763-2817 | 2007-08-30 |
| 1871702977 | Ali Elsayed Mohammed Elsayed | Internal Medicine | I Bay Avenue, Montclair, NJ 07042 | 2007-05-22 |
| 1952510091 | Ramesh Kolli | Internal Medicine | 9635 Monte Vista Ave Ste 205, Montclair, CA 91763-2235 | 2007-05-22 |
| 1750473286 | Shalini R Mali | Internal Medicine | 206 Claremont Ave, Montclair, NJ 07042 | 2006-09-29 |
| 1790886885 | Crescent Internal Medicine Group, LLC | Internal Medicine | 29 The Crescent, Montclair, NJ 07042-2636 | 2006-09-25 |
| Find all providers in MONTCLAIR | ||||
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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.