MALO CLINIC ADVANCED REHABILITATION,LLC (NPI# 1164758421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164758421 |
| Entity Type | Organization |
| Organization Name | MALO CLINIC ADVANCED REHABILITATION,LLC |
| Practice Address |
201 Route 17 11th Floor Rutherford NJ 07070-2574 |
| Practice Telephone | 2015282297 |
| Mailing Telephone | 2015282297 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | DR. STEVEN MOSS (PARTNER) |
| Authorized Official Telephone | 2015282297 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
201 ROUTE 17 11TH FLOOR |
| City | RUTHERFORD |
| State | NJ |
| Zip Code | 07070-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790855815 | Renata V Weber | Plastic Surgery | 201 Route 17, 11th Floor, Room 11056, Rutherford, NJ 07070-2574 | 2006-11-08 |
| 1871003194 | Priya Tonseker | Dentist | 201 Route 17, Rutherford, NJ 07070-2574 | 2017-10-02 |
| 1265967863 | Mobile Medical Services of New Jersey, PC | Anesthesiology | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2017-04-21 |
| 1861924532 | Malo Clinical Center for Ambulatory Surgery, LLC | Clinic/Center | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2017-03-31 |
| 1669927240 | Dhara Shah | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-08-24 |
| 1134579162 | Edward Dominguez | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-06-21 |
| 1508283862 | Ajit M. Shah, Md PC | Internal Medicine | 201 Route 17, Rutherford, NJ 07070-2574 | 2014-03-25 |
| 1033556626 | Complete Foot and Ankle - Malo | Podiatrist | 201 Route 17, 11th Floor, Rutherford, NJ 07070-2574 | 2013-05-23 |
| 1699118869 | Milad Alam | Orthopaedic Surgery | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-04-08 |
| 1215274410 | Malo Consulting Nj LLC | Clinic/Center | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1437592946 | Brett Bielory | Ophthalmology | 201 17 North, Suite 1202, Rutherford, NJ 07070 | 2013-04-15 |
| 1427317437 | Jose Manuel Rodriguez | Counselor | 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 | 2012-05-10 |
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1750523379 | Preethi Venugopal Ramaswamy | Dermatology | 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 | 2009-03-27 |
| 1457545675 | Rutherford Allied Medical Group | Chiropractor | 323 Union Avenue, Rutherford, NJ 07070 | 2007-08-30 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1477672327 | Robert S Freda | Chiropractor | 287 Park Avenue, Rutherford, NJ 07070 | 2007-03-29 |
| Find all providers in zip 07070 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD |
| Zip Code | 07070 |
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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.