BRIDGESIDE MEDICAL PC (NPI# 1164654018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164654018 |
| Entity Type | Organization |
| Organization Name | BRIDGESIDE MEDICAL PC |
| Practice Address |
441 Wilfred Ter Cliffside Park NJ 07010-1401 |
| Practice Telephone | 8458633711 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | MR. EUGENE REZVIN (OWNER) |
| Authorized Official Telephone | 8458633711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
441 WILFRED TER |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946931 | Patriot Medical | Internal Medicine | 241 Knox Ave, Cliffside Park, NJ 07010-2512 | 2019-11-13 |
| 1861822520 | Hilda Lucrecia Enriquez | Internal Medicine | 230 Walker St, Unit 3f, Cliffside Park, NJ 07010-1185 | 2013-11-17 |
| 1043466022 | Denis Valentin Kapkov | Internal Medicine | 300 Winston Dr Apt 1004, Cliffside Park, NJ 07010-3216 | 2008-08-11 |
| 1093738031 | Richard Norman Righthand | Internal Medicine | 691 Palisade Ave, Cliffside Park, NJ 07010-3100 | 2006-07-25 |
| 1609847193 | Violet S Master | Internal Medicine | 596 Anderson Ave, 216, Cliffside Park, NJ 07010-1831 | 2006-01-31 |
| 1912261009 | Liora Judith Farber | Internal Medicine | 705 Anderson Ave, 705 B Anderson Avenue, Cliffside Park, NJ 07010-2032 | 2012-07-03 |
| 1770755639 | Metropolitan Sleep and Diagnostic Testing LLC | Internal Medicine | 596 Anderson Ave, Suite 203, Cliffside Park, NJ 07010-1831 | 2008-03-31 |
| 1962690875 | Ashraf Faltas | Internal Medicine | 596 Anderson Ave, Suite 201, Cliffside Park, NJ 07010-1831 | 2007-10-05 |
| 1275635070 | Ashraf Faltas | Internal Medicine | 596 Anderson Ave, Suite 201, Cliffside Park, NJ 07010-1831 | 2006-09-02 |
| 1508975350 | Jose Longo-salvador | Internal Medicine | 663 Palisade Ave, Ste 101, Cliffside Park, NJ 07010 | 2006-08-29 |
| Find all providers in CLIFFSIDE PARK | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
Please comment or provide details below to improve the information on BRIDGESIDE MEDICAL PC.
| 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.