CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. (NPI# 1174652077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174652077 |
| Entity Type | Organization |
| Organization Name | CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. |
| Practice Address |
123 Highland Ave Suite G2 Glen Ridge NJ 07028-1527 |
| Practice Telephone | 9737439900 |
| Practice Fax Number | 9737433222 |
| Mailing Telephone | 9737439900 |
| Mailing Fax Number | 9737433222 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | DR. KENNETH N HOLWITT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9737439900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MA37001 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
123 HIGHLAND AVE SUITE G2 |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512398 | Benjamin Herbert Safirstein | Internal Medicine | 123 Highland Ave, Suite 101, Glen Ridge, NJ 07028-1527 | 2005-07-19 |
| 1902347370 | Rachel Nash | Nurse Practitioner | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2017-03-17 |
| 1578924973 | Andrea Cohen | Dietitian, Registered | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2016-03-11 |
| 1083081392 | Paul Woroch | Internal Medicine | 123 Highland Ave, Suite 201, Glen Ridge, NJ 07028-1527 | 2015-08-24 |
| 1861772063 | Joseph Anthony Banda | Physical Therapist | 123 Highland Ave, Suite G3, Glen Ridge, NJ 07028-1527 | 2011-08-19 |
| 1053607275 | Dennis A Tobia Md Pa | Internal Medicine | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2011-06-27 |
| 1780985267 | Raghav Rastogi | Internal Medicine | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2010-11-15 |
| 1053631846 | Pande V. Josifoski, M.d., L.L.C. | Clinic/Center | 123 Highland Ave, Suite 203, Glen Ridge, NJ 07028-1527 | 2010-06-03 |
| 1295997609 | Cornel Mircea Md Pa | Specialist | 123 Highland Ave, Ste 104, Glen Ridge, NJ 07028-1527 | 2008-06-26 |
| 1962678102 | Sleepcare Centers, Inc | Specialist | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1629046388 | Ellen E Urrutia | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057543 | Mohamed Abbassi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 91 Goodwin Dr, North Brunswick, NJ 08902-4273 | 2016-12-18 |
| 1578975520 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 485 Williamstown Road, Sicklerville, NJ 08081 | 2014-05-27 |
| 1770913782 | Advanced Cardiovascular Specialists LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Brown Ct, Livingston, NJ 07039-1520 | 2013-11-13 |
| 1346687647 | Leonid Emerel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 54 Mccampbell Rd, Holmdel, NJ 07733-2229 | 2013-05-28 |
| 1477899607 | Hudson Cardiothoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4 Bucks Mill Ln, Holmdel, NJ 07733-1756 | 2012-12-16 |
| 1801194659 | Mamsurg Thoracic Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4013 Us Highway 9, Howell, NJ 07731-4021 | 2011-03-03 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1962727644 | Benjamin Van Boxtel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mid-atlantic Surgical Associates, 100 Madison Avenue, Morristown, NJ 07960 | 2010-04-06 |
| 1699003145 | Douglas Joseph Dipaola | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Fullerton Rd, Moorestown, NJ 08057-1926 | 2009-11-20 |
| 1770810749 | James Clark Hart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 37 Hurlingham Club Rd, Far Hills, NJ 07931-2479 | 2009-11-11 |
| Find all providers with the same taxonomy | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
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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.