VANGUARD MEDICAL GROUP, P.A. (NPI# 1073674412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073674412 |
| Entity Type | Organization |
| Organization Name | VANGUARD MEDICAL GROUP, P.A. |
| Other Organization Name | TOWN MEDICAL ASSOCIATES, P.A. |
| Practice Address |
271 Grove Ave Suite A Verona NJ 07044-1730 |
| Mailing Address |
700 Route 46 E Ste 450 Fairfield NJ 07004-1583 |
| Practice Telephone | 9732391513 |
| Practice Fax Number | 9738573503 |
| Mailing Telephone | 9735593700 |
| Mailing Fax Number | 9735598650 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | RONISHA KATRINA SCALES (REVENUE CYCLE SPECIALIST) |
| Authorized Official Telephone | 9735593700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Town Medical Associates, P.A. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 127 Montgomery St, Jersey City, NJ 073023616 | 2014317200 | 2015260474 |
| 570 South Ave E Unit A, Cranford, NJ 070163200 | 9082727990 | 9732727970 |
| 200 Highland Ave Ste 100b, Glen Ridge, NJ 070281521 | 9739693800 | 9739693232 |
| 16 Pocono Rd Ste 310, Denville, NJ 078342908 | 9736277570 | 9736647572 |
| 170 Changebridge Rd Bldg C3, Montville, NJ 070459112 | 9735755540 | 9735754885 |
| 477 Route 10 E Ste 301, Randolph, NJ 078692142 | 9735609500 | 9735764650 |
| 535 High Mountain Rd Ste 111, North Haledon, NJ 075082652 | 9736369000 | 9736360913 |
| 466 Old Hook Rd, Emerson, NJ 076301396 | 2016498100 | 2016498101 |
| 61 Beaverbrook Rd Ste 301, Lincoln Park, NJ 070351750 | 9736966687 | 9736962260 |
| Street Address |
271 GROVE AVE SUITE A |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497848493 | Pavan Rekha Sharma | Dietitian, Registered | 271 Grove Ave, Ste A, Verona, NJ 07044-1731 | 2006-10-02 |
| 1447802509 | Cynthia Wesloske | Nurse Practitioner | 271 Grove Ave, Verona, NJ 07044-1730 | 2019-07-09 |
| 1073033080 | Anisha Varghese | Physical Therapist | 271 Grove Ave, Verona, NJ 07044-1730 | 2017-06-21 |
| 1396166237 | Jennifer Crayner-aryee | Nurse Practitioner | 271 Grove Ave, Suite A, Verona, NJ 07044-1730 | 2013-12-19 |
| 1336484732 | Joan O'driscoll | Specialist | 271 Grove Ave, Building C, Verona, NJ 07044-1730 | 2012-12-11 |
| 1285928887 | Laura D Tobin | Registered Nurse | 271 Grove Ave, Suite A, Verona, NJ 07044-1730 | 2011-06-01 |
| 1255621124 | Medical Associates | Non-Pharmacy Dispensing Site | 271 Grove Ave, First Floor, Verona, NJ 07044-1730 | 2011-04-13 |
| 1326369968 | Stephanie Smith | Family Medicine | 271 Grove Ave, Verona, NJ 07044-1730 | 2010-06-17 |
| 1235361130 | Laura Marie Cannito | Nurse Practitioner | 271 Grove Ave, Verona, NJ 07044-1730 | 2009-08-12 |
| 1659508687 | Kannan Sivaraju | Internal Medicine | 271 Grove Ave, Verona, NJ 07044-1730 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
| 1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
| 1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
| 1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
| 1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
| Find all providers in zip 07044 | ||||
| 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 |
|---|---|---|---|---|
| 1033622485 | Allegheny Clinic | Family Medicine | 6149 Saltsburg Rd Ste 202, Verona, PA 15147-3542 | 2017-11-08 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1609206440 | Nancy A Carpenter | Family Medicine | 222 Arch Street, Suite A, Verona, PA 15147 | 2013-11-14 |
| 1235470311 | William Pete Hamilton | Family Medicine | 21841 Lawrence 1160, Verona, MO 65769 | 2013-03-14 |
| 1861713422 | Michele Moscato | Family Medicine | 271 Grove Ave Ste A, Verona, NJ 07044-1731 | 2010-06-17 |
| 1295922664 | Verona Family Practice | Family Medicine | 5648 E Main St, Verona, NY 13478-3533 | 2007-10-01 |
| 1659593549 | Lisa A Alleyne | Family Medicine | 1371 Lee Highway, Verona, VA 24482-0000 | 2007-05-02 |
| 1790850428 | John Dean George IIi | Family Medicine | 5648 East Main St, Verona, NY 13478-0169 | 2006-11-21 |
| 1003993841 | West Essex Medical Group Pa | Family Medicine | 825 Bloomfield Avenue, Suite Ll1, Verona, NJ 07044 | 2006-11-01 |
| 1598851032 | Mickey Merringer | Family Medicine | 6310 Quincy Dr, Verona, PA 15147-2529 | 2006-10-04 |
| Find all providers in VERONA | ||||
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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.