DR. SUJOY MENON (NPI# 1154556835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154556835 |
Entity Type | Individual |
Full Name | DR. SUJOY MENON |
Credential | MD |
Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
Mailing Address |
21 Elsway Rd Apt 25f Short Hills NJ 07078-1617 |
Practice Telephone | 7324478095 |
Mailing Telephone | 7324478095 |
Mailing Fax Number | 9739240882 |
Enumeration Date | 2009-05-25 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA09473800 | NJ | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA09473800 | NJ | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
187 Millburn Ave Ste 101, Millburn, NJ 070411845 | 9733825002 |
Street Address |
201 LYONS AVE |
City | NEWARK |
State | NJ |
Zip Code | 07112-2027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
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Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063821726 | Michael Warhit | Radiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2014-08-07 |
1851730360 | Helen Hyejin Paik | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-4238 | 2013-06-18 |
1942553615 | Christiana Care Health Services Inc | Radiology | 4755 Ogletown Stanton Rd, Christiana Hospital, Newark, DE 19718-2200 | 2012-10-18 |
1346592417 | Jose Juan Diaz Hernandez | Radiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-10-12 |
1588921829 | Uchenna Nwosu | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2012-04-11 |
1780903278 | Basit Khan Achakzai | Radiology | 150 Bergen St # Streetc, Newark, NJ 07103 | 2010-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023631215 | K&h Medical-nj LLC | Radiology | 100 Wood Ave S Ste 110, Iselin, NJ 08830-2716 | 2020-05-21 |
1528625613 | Mvc Clinical Practice - Nj PC | Radiology | 83 Hanover Rd Ste 260, Florham Park, NJ 07932-1520 | 2019-05-23 |
1255899704 | Pulse Vascular, LLC | Radiology | 1051 W Sherman Ave Unit 4, Vineland, NJ 08360-6931 | 2019-03-04 |
1881159572 | Onsite Vascular Group Corporation | Radiology | Grosso Office Park, 50 Us Highway 9 North, Suite 102, Morganville, NJ 07751 | 2019-02-06 |
1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1790127736 | Judith Karen Weinstein | Radiology | 713 Haddon Ave, Collingswood, NJ 08108-3711 | 2013-07-18 |
1962716480 | Benjamin Lingshaw Yam | Radiology | 38 Oak St Ste 5a, Ridgewood, NJ 07450-3875 | 2010-07-27 |
1629226428 | New Jersey Interventional Associates, LLC | Radiology | 1050 Galloping Hill Rd Ste 102, Union, NJ 07083-7980 | 2008-09-04 |
1932201613 | Jay H. Schwartz | Radiology | 1750 Zion Rd Ste 106, Northfield, NJ 08225-1844 | 2006-09-02 |
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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.