JOHN QUALTER (NPI# 1093819336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093819336 |
| Entity Type | Individual |
| Full Name | JOHN QUALTER |
| Credential | DO |
| Practice Address |
264 Boyden Ave Maplewood NJ 07040 |
| Practice Telephone | 9737615200 |
| Practice Fax Number | 9737618487 |
| Mailing Telephone | 9737615200 |
| Mailing Fax Number | 9737617617 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18981 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0316105 | 05 | |
| NJ | CDS | D01455500 | 01 |
| NJ | DEA | BQ0437574 | 01 |
| Street Address |
264 BOYDEN AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565887 | Dina Prus | Internal Medicine | 264 Boyden Ave, Empire Medical Group, Maplewood, NJ 07040-3070 | 2006-02-03 |
| 1417566498 | Matthew Parmar | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2020-07-27 |
| 1295380228 | Kathryn M Michelotti | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2019-08-06 |
| 1962951616 | Sandra Jeanne Thompson | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-09-22 |
| 1710344155 | Empire Surgical Assistants, LLC | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-01-15 |
| 1972975142 | Neiha, LLC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-10-27 |
| 1043691736 | Empire Medical Urgentcare Center LLC | Clinic/Center | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-06-18 |
| 1063815173 | Marvelle Maloney | Obstetrics & Gynecology | 264 Boyden Ave, Maplewood, NJ 07040 | 2014-10-02 |
| 1518216274 | Heather Ann Sabol | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-09-10 |
| 1952656787 | Jessica Leigh Wolkun | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1114307105 | Priscilla Miguez | Family Medicine | 111 Dunnell Rd Ste 200, Maplewood, NJ 07040-2634 | 2015-06-04 |
| 1861718546 | Shakira Latasha Slater | Family Medicine | 1973 Springfield Avenue, Maplewood, NJ 07040 | 2010-04-20 |
| 1073524187 | Amy L Kraus | Family Medicine | 1814 North St Paul Road, Maplewood, MN 55109 | 2006-08-11 |
| 1578570271 | Mark A Steinhauser | Family Medicine | 2716 Upper Afton Rd E, Maplewood, MN 55119-4793 | 2006-08-02 |
| 1669486932 | Erik H Linck | Family Medicine | 1814 North St Paul Rd, Maplewood, MN 55109 | 2006-07-29 |
| 1225064769 | Sakhshat William Flowers IIi | Family Medicine | 2 Plymouth Pl, Maplewood, NJ 07040-2322 | 2006-06-25 |
| 1497714455 | Byron J Marquez | Family Medicine | 2165 White Bear Ave N, Maplewood, MN 55109 | 2006-03-20 |
| 1083686281 | Michael A Rethwill | Family Medicine | 2165 White Bear Avenue, Mail Stop 31600a, Maplewood, MN 55109-2798 | 2006-02-02 |
| 1215913009 | David Von Weiss | Family Medicine | 1675 Village Trl E, Unit #6, Maplewood, MN 55109-5819 | 2005-12-22 |
| 1144718917 | Stephanie Aldrin | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2018-04-27 |
| Find all providers in MAPLEWOOD | ||||
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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.