DR. MIKHAIL TISMENETSKY (NPI# 1205029212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205029212 |
| Entity Type | Individual |
| Full Name | DR. MIKHAIL TISMENETSKY |
| Credential | MD |
| Practice Address |
350 Engle St Englewood NJ 07631-1808 |
| Mailing Address |
Po Box 8069 Englewood NJ 07631-8069 |
| Practice Telephone | 2018941702 |
| Practice Fax Number | 2018712269 |
| Mailing Telephone | 2018941702 |
| Mailing Fax Number | 2018712269 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA08289600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
350 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612881 | Englewood Hospital and Medical Center | General Acute Care Hospital | 350 Engle St, Englewood, NJ 07631-1808 | 2005-07-14 |
| 1285233874 | Virginia Njihia | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-10-23 |
| 1548872815 | Deidre A Williams | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-18 |
| 1801406632 | Arnold Do | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-06 |
| 1760091128 | Michael Haroon Basir | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-30 |
| 1942818810 | Shaina Shah | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-16 |
| 1013525195 | Stephanie Alvarez | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-15 |
| 1386260172 | Joyce B Mbiziwo-tiapo | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-18 |
| 1356967228 | Alison Mcilvride | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-17 |
| 1760007652 | Abdullah Sultan Ahmad Ahmad | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467978668 | Healthone Irl Pathology Services, LLC | Pathology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2017-08-18 |
| 1669891917 | Lopa M Modi | Pathology | 350 Engle St, Englewood, NJ 07631-1808 | 2014-04-15 |
| 1497020796 | Morgan Leigh Cowan | Pathology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2012-03-20 |
| 1760639009 | John C Moore Md PC | Pathology | 88 Inverness Cir E, K102, Englewood, CO 80112-5304 | 2008-08-19 |
| 1275725970 | Ann Victoria Mckane | Pathology | 8490 Upland Dr, Ste 100, Englewood, CO 80112-7115 | 2007-08-16 |
| 1053366054 | Englewood Pathologists, Pa | Pathology | 350 Engle St, Department of Pathology, Englewood, NJ 07631-1808 | 2006-05-24 |
| 1497708788 | Miguel A. Sanchez | Pathology | 350 Engle St, Department of Pathology, Englewood, NJ 07631-1808 | 2006-05-18 |
| 1770536005 | Rosalyn E. Stahl | Pathology | 350 Engle St, Dept. of Pathology, Englewood, NJ 07631-1808 | 2006-05-18 |
| 1275584864 | Jausheng Tzeng | Pathology | 350 Engle St, Dept. of Pathology, Englewood, NJ 07631-1808 | 2006-05-16 |
| 1003867722 | Massoud Kashani | Pathology | 350 Engle St, Dept. of Pathology, Englewood, NJ 07631-1808 | 2006-05-15 |
| Find all providers in ENGLEWOOD | ||||
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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.