PENINSULA EMERGENCY ASSOCIATES PA (NPI# 1205007622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205007622 |
| Entity Type | Organization |
| Organization Name | PENINSULA EMERGENCY ASSOCIATES PA |
| Practice Address |
29 E 29th St Bayonne NJ 07002-4654 |
| Mailing Address |
66 West Gilbert St Red Bank NJ 07701 |
| Practice Telephone | 2018585000 |
| Mailing Telephone | 7322120051 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | DANE CLARKE (PRESIDENT) |
| Authorized Official Telephone | 7322120051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE RAILROAD CARRIER | DH1861 | 01 |
| Street Address |
29 E 29TH ST |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820588 | Avenue E Anesthesia Associates | Specialist | 29 E 29th St, Bayonne, NJ 07002-4654 | 2005-06-13 |
| 1770180804 | Bcp Pharmacy LLC | Pharmacy | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-10-01 |
| 1285250274 | Neil Alan Bobenhouse | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-25 |
| 1801412044 | Pak Lik Patrick Yue | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-23 |
| 1609492354 | Parth Patel | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-18 |
| 1053936104 | Mahin Amanullah | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-15 |
| 1962027177 | Khadijah Bilal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4695 | 2020-06-12 |
| 1669097960 | Neil Sondhi | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-11 |
| 1104441930 | Vashti Wanda Ramphal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-08 |
| 1669096574 | Andrew Shehata | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194761502 | Bayonne Emergency Assoc LLC | Clinic/Center | 29 East 29th Street, Bayonne, NJ 07002 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861949307 | Medrite Medical PC | Clinic/Center | 393 Mulberry St., Newark, NJ 07102 | 2016-09-01 |
| 1144386939 | Emergency Medical Associates | Clinic/Center | 143 Arlington Drive, Fords, NJ 08863 | 2006-12-28 |
| 1477927754 | Prohealth Urgent Care Medicine of New Jersey LLP | Clinic/Center | 461 River Rd, Edgewater, NJ 07020-1145 | 2015-11-24 |
| 1114347192 | Daniel D. Kim, D.d.s., LLC | Clinic/Center | 321 Broad Ave, #5, Ridgefield, NJ 07657-2346 | 2014-04-17 |
| 1164738068 | Gemcare Medical Centers, LLC | Clinic/Center | 1750 Cedar Bridge Ave, Lakewood, NJ 08701-6921 | 2010-08-30 |
| 1861639981 | Metro Medical Associates LLC | Clinic/Center | 870 Green St, Metro Medical Associates.llc, Iselin, NJ 08830-2102 | 2009-01-12 |
| 1619062015 | Us Coast Guard | Clinic/Center | 1 Munro Ave, Cape May, NJ 08204-5000 | 2006-10-03 |
| 1386746592 | Kennedy University Hospital Inc. | Clinic/Center | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2006-09-01 |
Please comment or provide details below to improve the information on PENINSULA EMERGENCY ASSOCIATES PA.
| 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.