PAULINE A WALKS-AKINTOBI (NPI# 1063434447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063434447 |
| Entity Type | Individual |
| Full Name | PAULINE A WALKS-AKINTOBI |
| Credential | MD |
| Practice Address |
741 Broadway Newark NJ 07104-4309 |
| Mailing Address |
1413 Fulton St Brooklyn NY 11216-2607 |
| Practice Telephone | 9734831300 |
| Practice Fax Number | 9736761396 |
| Mailing Telephone | 7186364500 |
| Mailing Fax Number | 7186362998 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
AW2478091 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 444 WILLIAM STREET | 1932370483 | 01 |
| NJ | 1150 SPRINGFIELD | 1972778413 | 01 |
| NJ | 5299608 | 05 | |
| NJ | 37 N DAY | 1235300799 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1413 Fulton St, Brooklyn, NY 112162607 | 7186364500 | 7186362998 |
| Street Address |
741 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580647 | Alan Y Tso | Internal Medicine | 741 Broadway, Newark, NJ 07104-4309 | 2005-10-05 |
| 1538772165 | Monica Yvette Johnson | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2020-08-24 |
| 1518576206 | Akuwa D Gbogbotsi | Registered Nurse | 741 Broadway, Newark, NJ 07104-4309 | 2020-07-28 |
| 1487123386 | Srujana Kraleti | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2018-11-20 |
| 1942726369 | Beyyinah Hasan | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2017-08-17 |
| 1902346810 | Hearns Paul | Social Worker | 741 Broadway, Newark, NJ 07104-4309 | 2017-02-27 |
| 1952843849 | Alexandra Noel | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-11-09 |
| 1619427093 | Nadia Gabaud | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-10-10 |
| 1043669245 | Jorane Bonheur | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-06-08 |
| 1700262474 | Raksha Poojary | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1942386966 | Feminia Castro Mac | Pediatrics | 18 Ferry St, Newark, NJ 07105-1436 | 2006-10-31 |
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1275505844 | Ricardo Jp Ferraz | Pediatrics | 374 Chestnut St Ste A, Newark, NJ 07105-2495 | 2006-02-07 |
| 1417958463 | Ernest Frederick Joseph Siebold | Pediatrics | 282 The Green, University of Delaware, Student Health Service, Newark, DE 19716-8101 | 2005-08-02 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1215179312 | Pediaric Center 2000 Inc | Pediatrics | 571 N 6th St, Newark, NJ 07107-2501 | 2009-04-03 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| 1801967740 | Paulette Denise Stanford | Pediatrics | 90 Bergen St, Doc 4300, Newark, NJ 07103-2425 | 2006-11-13 |
| 1275543365 | Wendy Neal | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-08-09 |
| Find all providers in NEWARK | ||||
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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.