DR. EBERE N EZEANYA (NPI# 1053547919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053547919 |
| Entity Type | Individual |
| Full Name | DR. EBERE N EZEANYA |
| Credential | M.D. |
| Practice Address |
37 Main St Ste 5 Clinton NJ 08809-2609 |
| Mailing Address |
4995 Derby Ln Bethlehem PA 18020-9418 |
| Practice Telephone | 6095820899 |
| Mailing Telephone | 9737045644 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA09219400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0357367 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 Chris Gaupp Dr Ste D, Galloway, NJ 082054440 | 8777951194 |
| Street Address |
37 MAIN ST STE 5 |
| City | CLINTON |
| State | NJ |
| Zip Code | 08809-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043729197 | Coaching From Experience | Day Training, Developmentally Disabled Services | 37 Main St Ste 5, Clinton, NJ 08809 | 2017-09-20 |
| 1821507963 | Danielle Crawford | Specialist | 37 Main St Ste 5, Clinton, NJ 08809-2609 | 2017-09-20 |
| 1952739690 | Nj South Coast Medical Center Corp | Family Medicine | 37 Main St Ste 5, Clinton, NJ 08809 | 2013-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394244 | Hunterdon Regional Community Health | Acupuncturist | 1738 Rt 31 Ste 204, Clinton, NJ 08809 | 2018-01-18 |
| 1356868236 | Gwendolyn Blake | Counselor | 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 | 2017-08-23 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1861882011 | Freedom House Inc | Clinic/Center | 2004 Route 31 North, Suite 2, Clinton, NJ 08809 | 2015-01-27 |
| 1689062952 | Ladan Abbasi | Nurse Practitioner | 1738 Route 31 North, Vein Institute of Hunterdon, Clinton, NJ 08809 | 2015-01-08 |
| 1508118027 | Robert Konowitz | Chiropractor | 1630 Route 31 North, Clinton, NJ 08809 | 2012-10-08 |
| 1881909232 | Jhansi Rani Poreddy | Pharmacist | 37 Old Route 22, Clinton, NJ 08809 | 2010-08-10 |
| 1306039110 | Cheryl H. Orenstein | Dentist | 1630 Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| 1356534184 | Aldo A Freda | Dentist | 1630 Route 31, State Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| Find all providers in zip 08809 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.