ALISA REZNIKOV (NPI# 1205288784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205288784 |
| Entity Type | Individual |
| Full Name | ALISA REZNIKOV |
| Credential | MD |
| Practice Address |
597 Park Ave Freehold NJ 07728-2590 |
| Practice Telephone | 7322942540 |
| Practice Fax Number | 7324092621 |
| Mailing Telephone | 7322942540 |
| Mailing Fax Number | 7324092621 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA10655500 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 W Main St, Suite B, Freehold, NJ 077282579 | 7322942540 | 7324092621 |
| Street Address |
597 PARK AVE |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085365 | Roberta Leveson | Counselor | 597 Park Ave, Freehold, NJ 07728-2590 | 2020-02-19 |
| 1659924637 | Mahvish N Qazi | Student in an Organized Health Care Education/Training Program | 597 Park Ave, Freehold, NJ 07728-2590 | 2019-07-19 |
| 1780237842 | Robert Gisub Kim | Student in an Organized Health Care Education/Training Program | 597 Park Ave, Freehold, NJ 07728-2590 | 2019-07-18 |
| 1720630064 | Jacey Pudney | Student in an Organized Health Care Education/Training Program | 597 Park Ave, Freehold, NJ 07728-2590 | 2019-07-16 |
| 1861044166 | Jamie Mathew Cherian | Student in an Organized Health Care Education/Training Program | 597 Park Ave, Freehold, NJ 07728-2590 | 2019-07-16 |
| 1609343912 | Visiting Nurse Association of Central Jersey, Community Health Center | Clinic/Center | 597 Park Ave, Freehold, NJ 07728-2351 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770988636 | Justin I. Porto, D.o. P.C. | Family Medicine | 287 Route 41, Freehold, NY 12431-6013 | 2014-11-04 |
| 1518121979 | Altacare Family Medical Practice, PC | Family Medicine | 301 Route 9 N, Freehold, NJ 07728-8562 | 2008-07-15 |
| 1881747913 | Mugurel S Cherciu | Family Medicine | 16 Thoreau Dr, Freehold, NJ 07728-4666 | 2007-01-20 |
| 1225115066 | Medical Associates of Freehold LLC | Family Medicine | 1 Applewood Drive, Freehold, NJ 07728-5309 | 2006-11-01 |
| 1194816207 | Charles Weston Hayne | Family Medicine | 77 Schanck Rd # 55, B-17, Freehold, NJ 07728-2964 | 2006-09-27 |
| 1376644252 | Jerry Boorstein | Family Medicine | 55 77 Schanck Rd, Suite B13, Freehold, NJ 07728 | 2006-09-26 |
| 1558472241 | Vinod K Gupta | Family Medicine | 3681 Us Highway 9, Freehold, NJ 07728-2674 | 2006-08-31 |
| 1164447470 | Maria F. Ciminelli | Family Medicine | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2006-07-13 |
| 1750328993 | Joseph Richard Raccuglia | Family Medicine | 4251 Us Highway 9, Suite 3-a, Freehold, NJ 07728-8303 | 2006-05-31 |
| 1720053838 | Miah Kim | Family Medicine | 80 Scenic Dr, Suite 6, Freehold, NJ 07728-5210 | 2006-02-22 |
| Find all providers in FREEHOLD | ||||
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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.