DR. ALLAN LEE GARDNER (NPI# 1144272667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144272667 |
| Entity Type | Individual |
| Full Name | DR. ALLAN LEE GARDNER |
| Credential | MD |
| Practice Address |
99 Beauvoir Ave Suite 405 Summit NJ 07901-3533 |
| Mailing Address |
7 Bayberry Ln Belmont MA 02478-1050 |
| Practice Telephone | 9737238436 |
| Mailing Telephone | 9737238436 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MA026475 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0151203 | 05 |
| Street Address |
99 BEAUVOIR AVE SUITE 405 |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010079 | John Halperin | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2005-08-17 |
| 1902404486 | Jenna Lin Boni | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-10-15 |
| 1508483116 | Khawaja Bakhtawar | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-30 |
| 1891312658 | Odon Makonko Nsungu | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-28 |
| 1316563679 | Sheryl Thant Yu Htoo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-23 |
| 1750906327 | Emily Findakly | Physician Assistant | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-10 |
| 1659994465 | Jefferson Isibor | Pharmacist | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-05-27 |
| 1437779493 | Jason Robert Steiner | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-20 |
| 1114556669 | Jacqueline Bobson | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-06 |
| 1508495524 | John David Yachmetz | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447544788 | Nicholas R Hempeck | Neurological Surgery | 36500 Aurora Dr, Summit, WI 53066-4899 | 2011-06-03 |
| 1255661153 | Weill Medical College of Cornell | Neurological Surgery | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2009-12-28 |
| 1689878126 | Atlantic Brain & Spine LLC | Neurological Surgery | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2007-06-11 |
| 1861580755 | Richard Michael Hodosh | Neurological Surgery | 99 Beauvoir Avenue, Atlantic Brain & Spine Institute, Summit, NJ 07901 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1063968360 | Executive Spine Surgery | Neurological Surgery | 657 Willow Grove St Ste 402, Hackettstown, NJ 07840 | 2016-08-28 |
| 1508224064 | Geoffrey Appelboom | Neurological Surgery | 703 Main St Ste A2404, Paterson, NJ 07503-2621 | 2016-01-29 |
| 1831568583 | Nj Neurosurgery, PC | Neurological Surgery | 400 Frank W Burr Blvd Ste 55, Atrium At Glenpoint, Ste 55, Teaneck, NJ 07666-6810 | 2015-09-23 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1861893588 | Abelardo Dario Inoa | Neurological Surgery | 6 Normandy Pkwy, Morristown, NJ 07960-5716 | 2014-09-12 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1912337312 | Functional Healthcare PC | Neurological Surgery | 234 Boundary Rd Unit 107, Marlboro, NJ 07746-1479 | 2013-11-21 |
| 1962849331 | David Weaver | Neurological Surgery | 725 Old Raritan Rd, Edison, NJ 08820-1021 | 2013-05-25 |
| 1831439272 | Vipin Kumar Gupta, Md Pa | Neurological Surgery | 2848 S Delsea Dr Ste 2b, Vineland, NJ 08360-7042 | 2013-02-21 |
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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.