MARIA R KEANCHONG MD PA (NPI# 1104151216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104151216 |
| Entity Type | Organization |
| Organization Name | MARIA R KEANCHONG MD PA |
| Practice Address |
20 Prospect Ave Suite 810 Hackensack NJ 07601-1997 |
| Practice Telephone | 2018804949 |
| Practice Fax Number | 2018804950 |
| Mailing Telephone | 2018804949 |
| Mailing Fax Number | 2018804950 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-12-11 |
| Authorized Official Name | DR. MARIA R. KEANCHONG (OWNER) |
| Authorized Official Telephone | 2018804949 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
20 PROSPECT AVE SUITE 810 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821587 | Todays Women Gynecology Pa | Obstetrics & Gynecology | 385 Prospect Ave Ste 314, Hackensack, NJ 07601-2570 | 2019-03-25 |
| 1972845055 | Amanda Lynn Ganza | Obstetrics & Gynecology | 20 Prospect Ave Ste 805, Hackensack, NJ 07601-1974 | 2013-03-26 |
| 1043549512 | Emre Kayaalp | Obstetrics & Gynecology | 30 Prospect Ave Rm 4e-90, Hackensack, NJ 07601 | 2009-12-13 |
| 1053537472 | Shelley B Saber | Obstetrics & Gynecology | Humc Department of Obstetrics and Gynecology, 30 Prospect Ave, Hackensack, NJ 07061 | 2007-04-17 |
| 1265552897 | Sara Judith Kostant | Obstetrics & Gynecology | 30 Prospect Ave # 4e-90, Hackensack, NJ 07601-1915 | 2007-03-29 |
| 1316987670 | Adam Shoman | Obstetrics & Gynecology | 155 Polifly Rd Ste 207, Hackensack, NJ 07601-1749 | 2006-06-07 |
| 1982650545 | Huseyin Copur | Obstetrics & Gynecology | 301 Beech St, Suite6, Hackensack, NJ 07601-2114 | 2006-05-25 |
| 1215992011 | Anna Altagracia Collado-cocke | Obstetrics & Gynecology | 150 Overlook Avenue, Office #1, Hackensack, NJ 07601 | 2006-04-18 |
| 1619943446 | Niketa Vinod Govindani | Obstetrics & Gynecology | 211 Essex St Ste 301, Hackensack, NJ 07601-3246 | 2006-02-23 |
| 1215401641 | Barbara A Cavallaro, Md PC | Obstetrics & Gynecology | 211 Essex St Ste 402, Hackensack, NJ 07601-3246 | 2019-01-18 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.