DR. ROBERT DOHERTY (NPI# 1265969158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265969158 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DOHERTY |
| Credential | DO |
| Practice Address |
4755 Ogletown Stanton Rd Newark DE 19718-7059 |
| Mailing Address |
4755 Ogletown Stanton Rd Newark DE 19718-2200 |
| Practice Telephone | 3027331000 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C2-0013804 | DE | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | C2-0013804 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044780 | Robert Paul Doherty | Case Manager/Care Coordinator | 1007 N Pope St, Silver City, NM 88061-5161 | 2020-05-18 |
| 1992031264 | Robert Neal Doherty | Case Manager/Care Coordinator | 100 S University Ave, Suite 401, Little Rock, AR 72205-5213 | 2009-10-21 |
| 1780716183 | Robert J Doherty | Dentist | 280 Mamaroneck Ave, Suite #210, White Plains, NY 10605-1438 | 2007-03-12 |
| 1154471431 | Robert Michael Doherty | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2007-01-11 |
| 1962552315 | Robert Patrick Doherty | Social Worker | 24 Myrtle St, Suite D, Framingham, MA 01702-6359 | 2007-01-10 |
| 1235227521 | Robert Edward Doherty | Dentist | 500 Congress St, Suite 3 E, Quincy, MA 02169-0908 | 2006-10-11 |
| 1881663383 | Robert Doherty | Dentist | 6 Professional Dr, Snow Hill, NC 28580-1333 | 2006-03-16 |
| Street Address |
4755 OGLETOWN STANTON RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-7059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223850 | Erik S Marshall | Internal Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital Suite 1e30, Newark, DE 19718-2200 | 2005-05-27 |
| 1073114740 | Helen Mutoko | Registered Nurse | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-11-08 |
| 1245839786 | Julie Pifer | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-24 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1033717657 | Amy Aucott | Respiratory Therapist, Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-15 |
| 1235736083 | Morgan Hudson | Occupational Therapist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-05 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1033725346 | Kacee Jo Verhovec | Pharmacist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-22 |
| 1457966780 | Braden J Schroeder | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-14 |
| 1497367155 | Christina Hoddinott | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554532 | Rwjbh Associates 2, LLC | Internal Medicine | 155 Jefferson St # Ll, Newark, NJ 07105-6906 | 2020-03-25 |
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1538709837 | Saloojas Inc. | Internal Medicine | 5763 Stevenson Blvd Ste A, Newark, CA 94560-5301 | 2020-01-14 |
| 1528600715 | Roseville Health Center Inc. | Internal Medicine | 500 Orange St Fl 2, Newark, NJ 07107-2944 | 2019-10-09 |
| 1457912388 | Vanessa Browne | Internal Medicine | 185 S Orange Ave Rm I-506, Newark, NJ 07103-2757 | 2019-06-21 |
| 1477024867 | Hazera Khatun | Internal Medicine | 111 Central Ave Dept Of, Newark, NJ 07102-1909 | 2018-12-10 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1649700253 | Cheryl Emilia Monteiro | Internal Medicine | 183 S Orange Ave # F1416, Newark, NJ 07103-2757 | 2017-06-15 |
| 1871029199 | Saira Zafar | Internal Medicine | 90 Bergen St # 4700, Newark, NJ 07103-2425 | 2017-05-05 |
| 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.