DR. ETHEL D BARUIZ (NPI# 1073679510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073679510 |
| Entity Type | Individual |
| Full Name | DR. ETHEL D BARUIZ |
| Credential | M.D. |
| Practice Address |
169 Minnisink Rd Totowa NJ 07512-1803 |
| Practice Telephone | 9732567100 |
| Practice Fax Number | 9738904574 |
| Mailing Telephone | 9732567100 |
| Mailing Fax Number | 9738904574 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA02730000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE NUMBER | 25MA02730000 | 01 |
| Street Address |
169 MINNISINK RD |
| City | TOTOWA |
| State | NJ |
| Zip Code | 07512-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046903 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-03 |
| 1306911763 | Meera Venkataraman Prakash | Psychiatry & Neurology | 169 Minnisink Rd, North Jersey Developmental, Totowa, NJ 07512-1803 | 2006-11-21 |
| 1356384341 | Roman Chrucky | Family Medicine | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-14 |
| 1962441873 | Indira Ravishankar | General Practice | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265682 | Joseph Choi | Student in an Organized Health Care Education/Training Program | 136 Independence Trail, Totowa, NJ 07512 | 2017-06-27 |
| 1508228537 | Psycho-educational Associates | Community/Behavioral Health | 999 Riverview Dr., Suite 201, Totowa, NJ 07512 | 2016-03-29 |
| 1013381086 | De La Torre Chiropractic Center, LLC | Chiropractor | 159 Union Blvd, Unit B, Totowa, NJ 07512 | 2015-11-13 |
| 1396123527 | Pratiksha Pandit Chesney | Physical Therapist | 10 Crews St., Totowa, NJ 07512 | 2015-05-07 |
| 1356735666 | Ne Health Management LLC | Clinic/Center | 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 | 2015-03-25 |
| 1477989218 | Medical Nutrition of Nj, LLC | Nutritionist | 137 Union Blvd, Totowa, NJ 07512 | 2013-09-25 |
| 1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
| 1982987293 | Jorge De La Torre Jr. | Chiropractor | 442 Union Blvd, Store Front, Totowa, NJ 07512 | 2011-09-22 |
| 1851699540 | Leilani Irisari Toomey | Physical Therapist | 140 Sheperds Ln#1, Totowa, NJ 07512 | 2011-03-04 |
| 1972803526 | Maria E Tapia | Social Worker | 555 Preakness Ave., Totowa, NJ 07512 | 2010-10-29 |
| Find all providers in zip 07512 | ||||
| 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 |
|---|---|---|---|---|
| 1124057203 | Dp Pediatrics LLC | Pediatrics | 142 Totowa Rd, #8, Totowa, NJ 07512-2745 | 2006-07-01 |
| 1508802349 | Pratibha Sarjerao Deshmukh | Pediatrics | 142 Totowa Rd # 8, Totowa, NJ 07512-2745 | 2006-06-21 |
| 1972655322 | Alexander Zodiatis | Pediatrics | 290 Union Blvd, Suite 2, Totowa, NJ 07512-2610 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
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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.