MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC (NPI# 1083910616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083910616 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC |
| Practice Address |
195 S Maple Ave Ridgewood NJ 07450-5142 |
| Practice Telephone | 9739538105 |
| Practice Fax Number | 7706432011 |
| Mailing Telephone | 9739538105 |
| Mailing Fax Number | 7706432011 |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2011-01-29 |
| Authorized Official Name | MR. DANA PICCIRILLO (CEO) |
| Authorized Official Telephone | 6788493782 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
195 S MAPLE AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659484012 | Sari Carol Zimmer | Dentist | 195 S Maple Ave, Ridgewood, NJ 07450 | 2006-08-17 |
| 1942506076 | Medical Centers of Northern New Jersey | Chiropractor | 195 S Maple Ave, Ridgewood, NJ 07450-5142 | 2011-02-08 |
| 1912166976 | Maple Eye Care Associates Pa | Optometrist | 195 S Maple Ave, Ridgewood, NJ 07450-5142 | 2008-06-05 |
| 1801008719 | Joel Servoss | Dentist | 195 S Maple Ave, Pediatric Dental Associates, Ridgewood, NJ 07450 | 2007-05-04 |
| 1639391428 | Cynthia Ann Gilbert-pattison | Dentist | 195 S Maple Ave, Ridgewood, NJ 07450-5142 | 2007-05-03 |
| 1750453304 | Vanessa Qureishi Velilla | Dentist | 195 S Maple Ave, Pediatric Dental Associates, Ridgewood, NJ 07450-5142 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1932656451 | Karla M. Vargas Reyes | General Practice | 654 Grandview Ave Apt 2r, Ridgewood, NY 11385-2411 | 2016-09-01 |
| 1700278413 | Khatuna Belov, Md, LLC | General Practice | 127 Union St Ste 102, Ridgewood, NJ 07450-4436 | 2015-03-04 |
| 1013165554 | George Michael Arcieri | General Practice | 294 Brookmere Ct, Ridgewood, NJ 07450-2604 | 2008-09-08 |
| 1932182375 | Gilbert Berookhim | General Practice | 5611 Catalpa Ave, Ridgewood, NY 11385-4841 | 2005-11-21 |
| 1154470870 | Valley Physician Services, Inc. | General Practice | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406010 | Nurse Practitioner Affiliates LLC | General Practice | 1608 Route 88 Ste 301, Brick, NJ 08724-3009 | 2020-10-28 |
| 1609482926 | Hunterdon Primary Care PC | General Practice | 200 Route 31 Ste 105, Flemington, NJ 08822-5812 | 2020-09-22 |
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| 1427605575 | Millstone Concierge Physicians | General Practice | 308 Sweetmans Ln, Millstone Township, NJ 08535-8116 | 2019-08-23 |
| 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.