DR. SALVATORE LICCIARDONE (NPI# 1205889045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205889045 |
| Entity Type | Individual |
| Full Name | DR. SALVATORE LICCIARDONE |
| Credential | DO |
| Practice Address |
74 Pascack Rd Park Ridge NJ 07656-1935 |
| Mailing Address |
1319 Wickford Ln Lanoka Harbor NJ 08734-2912 |
| Practice Telephone | 2013914166 |
| Mailing Telephone | 6092420073 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB02322300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
74 PASCACK RD |
| City | PARK RIDGE |
| State | NJ |
| Zip Code | 07656-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720769 | Jeffrey Gewirtz | Podiatrist | 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656-1935 | 2005-12-08 |
| 1295184471 | Madeleine Sophie Quinn | Podiatrist | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2016-06-08 |
| 1043637184 | Elana T Clark | Pediatrics | 74 Pascack Rd, Park Ridge, NJ 07656 | 2014-03-26 |
| 1356785075 | Lee H Greenberg | Podiatrist | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2013-04-24 |
| 1538341078 | Michael D. Weinthal D.p.m. | Podiatrist | 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656-1935 | 2007-11-27 |
| 1255533485 | Sonia Vulakh | Dentist | 74 Pascack Rd, Suite 8, Park Ridge, NJ 07656-1935 | 2007-06-01 |
| 1184793960 | Stephen M Fisher | Dentist | 74 Pascack Rd, Suite 11, Park Ridge, NJ 07656-1942 | 2006-11-07 |
| 1861593881 | Lina M Lopez | Psychiatry & Neurology | 74 Pascack Rd, Suite 2, Park Ridge, NJ 07656-1935 | 2006-09-25 |
| 1023087533 | Robin Yonna Feigelis | Internal Medicine | 74 Pascack Rd, Suite 10, Park Ridge, NJ 07656-1942 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
| 1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
| 1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
| 1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
| 1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
| 1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
| 1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
| 1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
| 1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
| Find all providers in zip 07656 | ||||
| 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 |
|---|---|---|---|---|
| 1043586852 | Dimitrina Vizinas | Family Medicine | 1440 Renaissance Dr Ste 300, Park Ridge, IL 60068-1471 | 2012-03-26 |
| 1225289614 | Thomas Dent | Family Medicine | 1439 Courtland Ave, Park Ridge, IL 60068-5379 | 2008-10-04 |
| 1700042041 | Steven Joo Lee | Family Medicine | 1400 Renaissance Dr Ste 216, Park Ridge, IL 60068-1335 | 2008-08-06 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1831301688 | Northwest Medical Center S.c. | Family Medicine | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2007-05-04 |
| 1235204397 | Keith Berndtson | Family Medicine | 15 N Prospect Ave, Park Ridge, IL 60068-3563 | 2006-11-22 |
| 1649382334 | Jozef Tryzno | Family Medicine | 760 Busse Hwy, Park Ridge, IL 60068-2402 | 2006-08-31 |
| 1508887183 | Blazej Lojewski | Family Medicine | 60 S Dee Rd Apt D, Park Ridge, IL 60068-3731 | 2006-07-21 |
| 1629005228 | Brian Allen Chicoine | Family Medicine | 1999 Dempster St, Park Ridge, IL 60068-1156 | 2006-06-27 |
| 1326028507 | Edward Koo | Family Medicine | 934 Wesley Dr, Park Ridge, IL 60068-2172 | 2006-01-22 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 07656 |
Please comment or provide details below to improve the information on DR. SALVATORE LICCIARDONE.
| 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.