RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES (NPI# 1245330588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245330588 |
| Entity Type | Organization |
| Organization Name | RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES |
| Practice Address |
390 New Brunswick Ave Fords NJ 08863-2110 |
| Mailing Address |
Po Box 48270 Newark NJ 07101-4800 |
| Practice Telephone | 7327384260 |
| Practice Fax Number | 7327385693 |
| Mailing Telephone | 2018189118 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOM SHANAHAN (CEO) |
| Authorized Official Telephone | 7322932314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA02674500 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA04981500 | NJ | Other Service Providers |
| N | 174400000X | Specialist | 25MA07930600 | NJ | Other Service Providers |
| Y | 174400000X | Specialist | 25MA05842900 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316036015 | Raritan Bay Medical Center Professional Services | Specialist | 2045 Route 35 South, Sayreville, NJ 08872 | 2006-10-12 |
| 1306939434 | Raritan Bay Medical Center Professional Services | Specialist | 500 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-02 |
| 1134201635 | Raritan Bay Medical Center Professional Services | Specialist | 516 Lawrie St, Perth Amboy, NJ 08861-3046 | 2006-10-20 |
| 1407945108 | Raritan Bay Medical Center Professional Services | Specialist | 2433 County Highway 516, Suite 3b, Old Bridge, NJ 08857 | 2006-10-12 |
| 1265529523 | Raritan Bay Medical Center Professional Services | Specialist | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2006-10-06 |
| 1033219357 | Raritan Bay Medical Center Professional Services | Specialist | 1 Hospital Plz, Old Bridge, NJ 08857-3012 | 2006-09-25 |
| Street Address |
390 NEW BRUNSWICK AVE |
| City | FORDS |
| State | NJ |
| Zip Code | 08863-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225076235 | Eumena Divino | Obstetrics & Gynecology | 390 New Brunswick Ave, Fords, NJ 08863-2110 | 2006-06-02 |
| 1487688537 | Steven Goldberg | Obstetrics & Gynecology | 390 New Brunswick Ave, Fords, NJ 08863-2110 | 2006-07-11 |
| 1174529820 | Steven R Berkman | Obstetrics & Gynecology | 390 New Brunswick Ave, Fords, NJ 08863-2110 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548683485 | Zakia Clay | Social Worker | 720 King Georges Road, Fords, NJ 08863 | 2014-01-29 |
| 1912343021 | Anil Datwani | Pharmacist | 370 New Brunswick Avenue, Fords, NJ 08863 | 2013-05-15 |
| 1992929889 | Fords Family Dental Care LLC | Dentist | 532 New Brunswick Ave, Fords, NJ 08863 | 2007-04-12 |
| 1144386939 | Emergency Medical Associates | Clinic/Center | 143 Arlington Drive, Fords, NJ 08863 | 2006-12-28 |
| 1437253549 | Pranab Kumar Haldar | Internal Medicine | 512 New Brunswick Ave, Fords, NJ 08863 | 2006-09-11 |
| 1124533443 | Petrovani Family Medicine Pllc | Family Medicine | 10 Parker Pl, Fords, NJ 08863 | 2017-12-08 |
| 1669507810 | Quick Chek Corporation | Pharmacy | 6 Egan Ave, Fords, NJ 08863 | 2007-02-21 |
| 1609941764 | Shahid Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-11-22 |
| 1750474656 | Ajit Sodhi | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| 1174616064 | Pervaize Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| Find all providers in zip 08863 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316311343 | Mignon Jackman | Specialist | 42 De Grasse St, Fords, NJ 08863-1342 | 2015-11-13 |
| 1265840151 | Dhara Patel | Specialist | 25 Wittenberg Dr, Fords, NJ 08863-1214 | 2014-07-24 |
| 1891059416 | Kathryn Gawron | Specialist | 66 Wilson Dr, Fords, NJ 08863-1518 | 2012-06-28 |
| 1033353800 | Abdelhamid Mahmoud Abourya | Specialist | 61 Sheppard Pl, Fords, NJ 08863-1355 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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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.