DR. JEFFREY OSOFSKY (NPI# 1093789612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093789612 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY OSOFSKY |
| Credential | M.D. |
| Practice Address |
11 Meridian Rd Eatontown NJ 07724-2242 |
| Practice Telephone | 7326630300 |
| Practice Fax Number | 7326630301 |
| Mailing Telephone | 7327768535 |
| Mailing Fax Number | 7326630301 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA69311 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
25MA06931100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8089701 | 05 |
| Street Address |
11 MERIDIAN RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679490 | Lance Seth Berger | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2005-06-17 |
| 1700428158 | Marissa Ashley Naparlo | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-10-16 |
| 1811555709 | Kimberly Ann Hagen | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-06-05 |
| 1699242669 | Rachel Groves | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2018-10-29 |
| 1942725213 | Elyse Roddy | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2017-08-08 |
| 1154877967 | Kaitlin Rogers | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-08-31 |
| 1184082349 | Cara Fehnel | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-02-03 |
| 1851648687 | Victoria Catherine Vallejo | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-08-10 |
| 1134480205 | Jeffrey Craig Selan | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-06-05 |
| 1124311642 | Daniel Harris Kiss | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427064203 | Amarnath Avancha Pa | Nuclear Medicine | 124 Gregory Ave., Unit 102, Passaic, NJ 07055-4856 | 2006-07-31 |
| 1760419659 | Terry D Friedman | Nuclear Medicine | 1400 Route 70 E, Cherry Hill, NJ 08034-2230 | 2006-06-27 |
| 1003892779 | Moein Faghih Vaseghi | Nuclear Medicine | 282 South Ave Ste 102, Fanwood, NJ 07023-1346 | 2005-12-15 |
| 1922638097 | Icahn School of Medicine At Mount Sinai | Nuclear Medicine | 103 River Rd Fl 2, Edgewater, NJ 07020-1016 | 2020-01-17 |
| 1841589298 | Sovereign Medical Group LLC | Nuclear Medicine | 630 Broad St, Carlstadt, NJ 07072-1169 | 2011-04-06 |
| 1841528080 | Astra Md P C | Nuclear Medicine | 550 Bloomfield Ave, Newark, NJ 07107-1386 | 2009-11-30 |
| 1386821395 | Diagnostic Imaging of Bergen, LLC | Nuclear Medicine | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2008-01-22 |
| 1295918068 | You G Ding | Nuclear Medicine | 44 Sylvan Ave, Ste 1e, Englewood Cliffs, NJ 07632-2426 | 2007-12-14 |
| 1669693875 | Kristopher F Young | Nuclear Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2007-05-02 |
| 1699805978 | Holy Name Hospital Ekg Interpretation Group | Nuclear Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2007-03-06 |
| 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.