DR. KRISTEN DENISE SCATLIFFE (NPI# 1194086694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194086694 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN DENISE SCATLIFFE |
| Credential | M.D. |
| Practice Address |
5665 Kennedy Blvd Apt 522 North Bergen NJ 07047-3223 |
| Practice Telephone | 3054580945 |
| Mailing Telephone | 3054580945 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2018-01413 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5665 KENNEDY BLVD APT 522 |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124439096 | Corrective Care Experts | Chiropractor | 5665 Kennedy Blvd, 329, North Bergen, NJ 07047-3223 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1639618424 | Riverfront Intensivists | Internal Medicine | 7600 River Rd, North Bergen, NJ 07047-6217 | 2017-02-14 |
| 1750473146 | Summit Medical Arts Associates, LLC | Internal Medicine | 9225 Kennedy Blvd, North Bergen, NJ 07047-5361 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
| 1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
| 1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
| 1558730705 | Academic Icu Doc, Pa | Internal Medicine | 5 Rushton Ct, West Windsor, NJ 08550-3320 | 2015-09-17 |
| 1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
| 1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
| 1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
| 1154682680 | Critical Care Physicians of New Jersey PC | Internal Medicine | 454 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2448 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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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.