DR. MARY SEDAROUS (NPI# 1114187465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114187465 |
| Entity Type | Individual |
| Full Name | DR. MARY SEDAROUS |
| Credential | M.D. |
| Practice Address |
1944 Corlies Ave # 206 Neptune NJ 07753-4862 |
| Mailing Address |
525 E 71st St Belaire 5th Floor New York NY 10021-4828 |
| Practice Telephone | 7327748282 |
| Mailing Telephone | 7327748282 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2013-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 25MA09068100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1944 CORLIES AVE # 206 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848599 | Monmouth-ocean Neurology PC | Specialist | 1944 Corlies Ave, Ste 206, Neptune, NJ 07753-4862 | 2005-11-16 |
| 1346874625 | Adrian Benjumea | Nurse Practitioner | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 | 2020-02-26 |
| 1992170971 | Klein Chiropractic Institute LLC | Chiropractor | 1944 Corlies Ave, Suite 101a, Neptune, NJ 07753-4862 | 2015-12-02 |
| 1023485364 | Newton Hanson Klein | Chiropractor | 1944 Corlies Ave, 101a, Neptune, NJ 07753-4862 | 2015-08-21 |
| 1881022200 | William C Bonner | Nurse Practitioner | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753-4862 | 2013-10-22 |
| 1043515471 | Anastasia Maria Eswar | Psychiatry & Neurology | 1944 Corlies Ave, Suite 206, Neptune, NJ 07753-4862 | 2011-01-15 |
| 1427283050 | Carrie Janine Shapiro-basen | Audiologist | 1944 Corlies Ave, Audiology Department-suite 102, Neptune, NJ 07753-4862 | 2009-05-27 |
| 1003061714 | Neurophysiology Labs | Durable Medical Equipment & Medical Supplies | 1944 Corlies Ave, Ste 206, Neptune, NJ 07753-4862 | 2008-11-21 |
| 1417133919 | Jeanette Arlene Miller | Specialist | 1944 Corlies Ave, Neptune, NJ 07753-4862 | 2008-01-14 |
| 1477613057 | Shore Primary Care, P.C. | Internal Medicine | 1944 Corlies Ave, Suite #103, Neptune, NJ 07753-4862 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487982583 | Charles Steiner Inc. | Neuromusculoskeletal Medicine & OMM | 467 Valley St, L-h, Maplewood, NJ 07040-1306 | 2009-12-01 |
| 1235361320 | Olha Sokhan | Neuromusculoskeletal Medicine & OMM | 210 Fairview Ave, Rutherford, NJ 07070-1651 | 2009-08-21 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1174742704 | Shawn Tepper-levine | Neuromusculoskeletal Medicine & OMM | 20 Heathcote Road, Kingston, NJ 08528-0142 | 2007-04-24 |
| 1366401945 | Abraham D. Morganoff | Neuromusculoskeletal Medicine & OMM | 5 Mountain Blvd, Warren, NJ 07059-5650 | 2006-03-21 |
| 1215902325 | John A Infantolino | Neuromusculoskeletal Medicine & OMM | 5 Princeton Ave, Brick, NJ 08724-3515 | 2006-02-22 |
| 1851390199 | Mark Maccollom Morris | Neuromusculoskeletal Medicine & OMM | 26 Millburn Ave, Springfield, NJ 07081-1071 | 2005-07-19 |
| 1942615059 | Catherine Mary Fusco | Neuromusculoskeletal Medicine & OMM | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2014-06-26 |
| 1487996062 | Dorothy Marie Klingmeyer | Neuromusculoskeletal Medicine & OMM | 435 South St, Suite 220a, Morristown, NJ 07960-6422 | 2013-03-21 |
| 1750628160 | Physical Medicine and Rehabilitation Services | Neuromusculoskeletal Medicine & OMM | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-07 |
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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.