TRANSFORMATIONS PHYSICIANS WEIGHT MANAGEMENT LLC (NPI# 1205153251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205153251 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONS PHYSICIANS WEIGHT MANAGEMENT LLC |
| Other Organization Name | KATHLEEN HICKEY, M.D. |
| Practice Address |
719 Highway 206 Suite 101 Hillsborough NJ 08844-1536 |
| Practice Telephone | 9082816771 |
| Practice Fax Number | 9082816439 |
| Mailing Telephone | 9082816771 |
| Mailing Fax Number | 9082816439 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | DR. KATHLEEN ANN HICKEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9082816771 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NN09992000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
MA067366 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE, TYPE UNSPECIFIED | 016208 | 01 |
| Other Name | Type Code |
|---|---|
| Kathleen Hickey, M.D. | Other Name - Individual/Organization |
| Street Address |
719 HIGHWAY 206 SUITE 101 |
| City | HILLSBOROUGH |
| State | NJ |
| Zip Code | 08844-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460490 | Suman Dahiya | Physical Therapist | Nathaniel Witherell, 70 Parsonage Rd, Greenwich, CT 08844 | 2020-02-26 |
| 1265082929 | Ashley Rose | Behavioral Analyst | 856 Hwy 206, Bldg A Unit 4, Hillsborough, NJ 08844 | 2019-09-16 |
| 1720562879 | Sidona Lynn Anderson | Behavioral Analyst | 419 Conover Dr., Hillsborough, NJ 08844 | 2018-09-24 |
| 1821574385 | Priti Trivedi | Dietitian, Registered | 3 Randolph Way, Hillsborough, NJ 08844 | 2018-07-17 |
| 1760971600 | Mobility Transport Services, LLC. | Non-emergency Medical Transport (VAN) | 120 Stryker Ln Ste 303, Hillsborough, NJ 08844 | 2018-05-07 |
| 1861999393 | Matheny School and Hospital | Day Training/Habilitation Specialist | 216 Valley Park Rd, Suites 3&4, Hillsborough, NJ 08844 | 2018-04-11 |
| 1750881728 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Corporal Langon Way, Apt. 102, Hillsborough, NJ 08844 | 2018-02-16 |
| 1184123606 | Nikhil Sekher | Pharmacy Technician | 613 Van Liew Court, Hillsborough, NJ 08844 | 2018-02-10 |
| 1063921716 | Aratiben Dhirubhai Patel | Physical Therapist | 15 Fisher Dr., Hillsborough, NJ 08844 | 2017-09-26 |
| 1629591151 | Midland Adult Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Gateway Boulevard, Apt 107, Hillsborough, NJ 08844 | 2017-07-17 |
| Find all providers in zip 08844 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801319496 | Healthy Ewl PC | Family Medicine | 95 Madison Ave Ste A06, Morristown, NJ 07960-7365 | 2017-07-25 |
| 1003455767 | Omega Weight Loss Center | Family Medicine | 222 Cedar Ln, Teaneck, NJ 07666-4314 | 2019-12-30 |
| 1558516518 | Felipe Tanseco Juan | Family Medicine | 502 Hamburg Tpke, Suite 101a, Wayne, NJ 07470-8431 | 2008-11-18 |
| 1194978759 | Maheshwari Medical Corporation | Family Medicine | 779 Springfield Ave, Summit, NJ 07901-2332 | 2008-10-28 |
| 1972782696 | Grand Professional Weight Control | Family Medicine | 420 Grand Avenue, Suite 102, Englewood, NJ 07631 | 2007-10-30 |
| City | HILLSBOROUGH |
| Zip Code | 08844 |
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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.