BRANFORD MEDICAL GROUP, PC (NPI# 1255613576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255613576 |
| Entity Type | Organization |
| Organization Name | BRANFORD MEDICAL GROUP, PC |
| Other Organization Name | BRANFORD MEDICAL CENTER |
| Practice Address |
23 Branford Pl Newark NJ 07102-2711 |
| Practice Telephone | 9734240080 |
| Practice Fax Number | 9734240088 |
| Mailing Telephone | 9734240080 |
| Mailing Fax Number | 9734240088 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | DR. JOSE FLORANTE J. LEYSON (DIRECTOR) |
| Authorized Official Telephone | 9734240080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 25MA03698400 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BRANFORD MEDICAL CENTER | Other Name - Individual/Organization |
| Street Address |
23 BRANFORD PL |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700802790 | Robert Daniel Collin | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2006-07-14 |
| 1114295524 | Brick Hause Physical Therapy PC | Physical Therapist | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-12-13 |
| 1023385051 | Branford Dental Group PC | Dentist | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-11-18 |
| 1295002343 | Branford Psychiatric Associates PC | Psychiatry & Neurology | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-11-17 |
| 1275819823 | Patish Dpm PC | Podiatrist | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-10-27 |
| 1811271208 | Zhanna Kanevsky, Md PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-10-04 |
| 1801178736 | Om Medical Group PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-09-16 |
| 1952615247 | Ellen Levan, Md, PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1407029051 | Ronaldo L. Domingo Md Pa | Urology | 620 Christiana Medical Ctr, Newark, DE 19702-1656 | 2008-04-03 |
| 1679633374 | Peter J Muench Md Pa | Urology | H50 Omega Drive, Newark, DE 19713 | 2006-12-11 |
| 1972617314 | Donald J Lewis | Urology | 1902 Tamarack Rd, Newark, OH 43055 | 2006-08-19 |
| 1457312597 | William Alvin Stallworth | Urology | 1272 W Main St Ste 401, Newark, OH 43055-2056 | 2006-03-29 |
| 1427023639 | Peter J Muench | Urology | H 50 Omega Drive, Newark, DE 19713 | 2006-02-21 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1164675955 | Rochester General Hospital | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1508086554 | Licking Memorial Professional Corporation | Urology | 1272 West Main Street, Bldg 4, Newark, OH 43055-2004 | 2007-05-01 |
| Find all providers in NEWARK | ||||
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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.