DR. JOHN J VACCARO (NPI# 1083682017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083682017 |
| Entity Type | Individual |
| Full Name | DR. JOHN J VACCARO |
| Credential | MD |
| Practice Address |
230 Sherman Ave Glen Ridge NJ 07028-1529 |
| Practice Telephone | 9737439555 |
| Practice Fax Number | 9737437663 |
| Mailing Telephone | 9737439555 |
| Mailing Fax Number | 9737437663 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
195112 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA65687 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7406100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598080871 | John Vaccaro | Counselor | 400 Forest Ave, Buffalo, NY 14213-1207 | 2010-03-30 |
| 1538241930 | John Anthony Vaccaro | Urology | 3124 S 19th St, Ste 320, Tacoma, WA 98405-2433 | 2006-10-19 |
| 1861463267 | John Vaccaro | Plastic Surgery | 202 Route 37 W, Suite 1a, Toms River, NJ 08755-8055 | 2006-02-01 |
| Street Address |
230 SHERMAN AVE |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205808300 | Jose C Flores | Family Medicine | 230 Sherman Ave, Suite A, Glen Ridge, NJ 07028-1529 | 2006-02-02 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| 1013345552 | Sharon Meltzer | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2013-10-18 |
| 1487938627 | Naveen Ballem, Md LLC | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2011-10-06 |
| 1710269980 | New Jersey Laproscopic Associates LLC | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2011-09-14 |
| 1992029110 | Melissa Gail Berlin | Family Medicine | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2010-03-17 |
| 1285956995 | Kathrine Berdebes Kent | Dietitian, Registered | 230 Sherman Ave, Suite C, Glen Ridge, NJ 07028-1529 | 2010-02-22 |
| 1083843783 | Harvey Rainville | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2009-07-02 |
| 1649432097 | Kartik Narendra Gohil | Surgery | 230 Sherman Ave, Suite C, Glen Ridge, NJ 07028-1529 | 2008-06-26 |
| 1104012533 | Rv Ballem Md Aruna Jk Ballem Md Pa | Pediatrics | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1629046388 | Ellen E Urrutia | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1104205111 | B3yond Nutrition, LLC | Dietitian, Registered | 2 Ardsley Rd, Glen Ridge, NJ 07028 | 2015-05-22 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679511216 | Neurological Consultants Pa | Psychiatry & Neurology | 230 Sherman Ave, Suite K, Glen Ridge, NJ 07028-1529 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| Find all providers with the same taxonomy | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
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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.