ELMER SALVADOR GAMBOA (NPI# 1205973666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205973666 |
| Entity Type | Individual |
| Full Name | ELMER SALVADOR GAMBOA |
| Credential | MD |
| Practice Address |
17 Heritage Dr South River NJ 08882-2593 |
| Mailing Address |
1 Capital Way Pathology Department Pennington NJ 08534-2520 |
| Practice Telephone | 7323908341 |
| Mailing Telephone | 6093036000 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-01-31 |
| 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 |
25MA06897600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8409501 | 05 |
| Street Address |
17 HERITAGE DR |
| City | SOUTH RIVER |
| State | NJ |
| Zip Code | 08882-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265644256 | Stephen Tabori | Dentist | 171 Main Steet, Suite 4, South River, NJ 08882 | 2007-05-04 |
| 1417032855 | Anuradha Yelchur | Internal Medicine | 71 Main Street, Instacare Medical Center, South River, NJ 08882 | 2006-10-26 |
| 1205245503 | Cynthia Kozicki | Social Worker | 24 Northern St, South River, NJ 08882-1044 | 2014-08-12 |
| 1245622810 | Jersey Hospitalist LLC | Internal Medicine | 6 Pettit Ave, South River, NJ 08882-1053 | 2015-02-19 |
| 1235238478 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 231 Prospect Street, South River, NJ 08882-1124 | 2006-09-22 |
| 1649795253 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 231 Prospect St, South River, NJ 08882-1124 | 2017-08-04 |
| 1740538677 | Jane Sun | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2012-08-27 |
| 1013295617 | Pratik D Shah | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2011-07-30 |
| 1952611808 | Steven Toma | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2010-10-13 |
| 1457667883 | Silvia A. Carvalheiro | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2010-08-23 |
| Find all providers in zip 08882 | ||||
| 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 |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH RIVER |
| Zip Code | 08882 |
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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.