ENGLEWOOD PHYSICIAN'S GROUP LLC (NPI# 1235363045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235363045 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD PHYSICIAN'S GROUP LLC |
| Practice Address |
40 Engle St Englewood NJ 07631-2905 |
| Practice Telephone | 2015670522 |
| Practice Fax Number | 2015675955 |
| Mailing Telephone | 2015670522 |
| Mailing Fax Number | 2015675955 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-06-12 |
| Authorized Official Name | MS. ISABELLE TARIKYAN (CFO) |
| Authorized Official Telephone | 2015670522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
40 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366574550 | Bergen Clinical Labs, Inc. | Clinical Medical Laboratory | 40 Engle St, Englewood, NJ 07631-2905 | 2007-03-12 |
| 1205087533 | Metropolitan Anesthesia Group LLC | Anesthesiology | 40 Engle St, Englewood, NJ 07631-2905 | 2008-10-06 |
| 1306060819 | Ophelia Macbain | Spec/Tech, Pathology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-04-13 |
| 1518181791 | Elizabeth Ganopolsky | Anesthesiology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-04-12 |
| 1205059672 | Kriss Hadjistavrinos | Obstetrics & Gynecology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-04-11 |
| 1437282464 | Englewood Surgical Services, LLC | Obstetrics & Gynecology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-03-13 |
| 1679605729 | Metropolitan Surgical Associates Inc. Dba Metropolitan Medical Assoc | Clinic/Center | 40 Engle St, Englewood, NJ 07631-2905 | 2007-03-12 |
| 1023140100 | Nicholas Kotopoulos | Obstetrics & Gynecology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-03-12 |
| 1972635191 | Elizabeth Ganopolsky, Md. Pa | Anesthesiology | 40 Engle St, Englewood, NJ 07631-2905 | 2007-03-12 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746477 | Kassandra Mcmillen | Obstetrics & Gynecology | 125 Inverness Dr E Ste 210, Englewood, CO 80112 | 2015-12-04 |
| 1588094437 | Fredrick Ralph Abrams | Obstetrics & Gynecology | 105 Meade Ln, Englewood, CO 80113-6030 | 2013-11-13 |
| 1821436676 | Inna Santkovsky | Obstetrics & Gynecology | 200 Engle St., Suite 14, Englewood, NJ 07631-4320 | 2013-06-13 |
| 1003259581 | Abby Christine Richards | Obstetrics & Gynecology | 601 E Hampden Ave Ste 370, Englewood, CO 80113-2796 | 2013-04-15 |
| 1528355534 | Kathleen Ann Sander | Obstetrics & Gynecology | 180 E Hampden Ave Ste 100, Englewood, CO 80113-2517 | 2011-06-29 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1396943965 | Dana Rose Ambler | Obstetrics & Gynecology | 9780 Pyramid Ct. Suite 260, Englewood, CO 80112 | 2007-07-05 |
| 1033265491 | Jennifer Eun Sun Cho | Obstetrics & Gynecology | 106 Grand Ave Ste 300, Englewood, NJ 07631-3565 | 2007-01-26 |
| 1972601649 | Jennifer L Ashton | Obstetrics & Gynecology | 1 Engle St Ste 1, Englewood, NJ 07631-2941 | 2006-09-20 |
| 1073616926 | Deborah Smith | Obstetrics & Gynecology | 12770 Lynnfield Dr, Englewood, CO 80112-4128 | 2006-09-06 |
| 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.