DR. JAGBIR S BENIWAL (NPI# 1134229172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134229172 |
| Entity Type | Individual |
| Full Name | DR. JAGBIR S BENIWAL |
| Credential | MD |
| Practice Address |
508 Hamburg Tpke Suite 205 Beniwal Md LLC Wayne NJ 07470 |
| Practice Telephone | 9739560800 |
| Practice Fax Number | 9739561885 |
| Mailing Telephone | 9739560800 |
| Mailing Fax Number | 9739561885 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA60489 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ HEALTH | 1125433 | 01 | |
| HEALTHNET | J35036 | 01 | |
| GHI | 0103538 | 01 | |
| NJ | 6970508 | 05 | |
| AMERIGROUP | 6970508 | 01 | |
| PALMETTO RR MEDICARE | P00009802 | 01 | |
| AMERICHOICE | 91000121202 | 01 | |
| OXFORD | P430830 | 01 | |
| AETNA | 3063025 | 01 | |
| AMERIHEALTH | H910001212 | 01 |
| Street Address |
508 HAMBURG TPKE SUITE 205 BENIWAL MD LLC |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524045 | Emmanuel Ayturk Aydin | Internal Medicine | 508 Hamburg Tpke, Suite 102, Wayne, NJ 07470 | 2005-08-02 |
| 1215323662 | Erin Boland | Nurse Practitioner | 508 Hamburg Tpke, Ste 202, Wayne, NJ 07470-8482 | 2015-04-13 |
| 1750610069 | K.neena Chima, M.d., L.L.C. | Dermatology | 508 Hamburg Tpke, Suite 101, Wayne, NJ 07470-8482 | 2009-12-15 |
| 1306078431 | Olga Orlov, Md Pa | Pediatrics | 508 Hamburg Tpke, Suite 107, Wayne, NJ 07470-8482 | 2009-08-24 |
| 1871769075 | Beniwal Md LLC | Legal Medicine | 508 Hamburg Tpke, Suite 205, Wayne, NJ 07470-8482 | 2008-05-07 |
| 1265656615 | Pulmonary Medicine of Wayne PC | Internal Medicine | 508 Hamburg Tpke, Suite 202, Wayne, NJ 07470-8482 | 2007-04-13 |
| 1902852858 | Horizon Hematology/oncology Corp | Internal Medicine | 508 Hamburg Tpke, Suite 202, Wayne, NJ 07470-8482 | 2006-05-25 |
| 1265487086 | Elsaid Balboul Md Pa | Internal Medicine | 508 Hamburg Tpke, Ste 201, Wayne, NJ 07470-8482 | 2006-05-23 |
| 1497707087 | Tomasz Adam Gruczynski | Pediatrics | 508 Hamburg Tpke, Wayne, NJ 07470-8482 | 2006-05-16 |
| 1407813215 | Olga Orlov | Pediatrics | 508 Hamburg Tpke, Suite 107, Wayne, NJ 07470-8482 | 2006-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
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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.