DR. WENDY NEAL (NPI# 1275543365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275543365 |
| Entity Type | Individual |
| Full Name | DR. WENDY NEAL |
| Credential | M.D |
| Practice Address |
166 Lyons Ave Newark NJ 07112-2016 |
| Practice Telephone | 9739267282 |
| Practice Fax Number | 9739232978 |
| Mailing Telephone | 9739267282 |
| Mailing Fax Number | 9739232978 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MA7185500 | NJ | Allopathic & Osteopathic Physicians |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
193989-1 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672012 | Wendy M. Neal | Social Worker | One Tiffany Pointe, Suite 100b, Bloomingdale, IL 60108 | 2007-05-23 |
| 1912049172 | Wendy S Neal | Neuromusculoskeletal Medicine & OMM | 2901 E Burnside St, Portland, OR 97214-1831 | 2007-02-13 |
| Street Address |
166 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521225 | Nbimc Family Health Center | Obstetrics & Gynecology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-05-03 |
| 1407310329 | University Health Professions | Physician Assistant | 166 Lyons Ave, Newark, NJ 07112-2016 | 2019-01-24 |
| 1114441102 | Joshua D Oderanti | Nurse Practitioner | 166 Lyons Ave, Newark, NJ 07112-2016 | 2017-08-01 |
| 1902340953 | Navya Kuchipudi | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112 | 2016-12-10 |
| 1891181525 | Angie Buttigieg | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-04-09 |
| 1033503057 | Sarah Stites | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-03-27 |
| 1013223650 | Karen S. Basedow | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2010-08-20 |
| 1609012525 | Nudrat F Ayub Md LLC | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-12-23 |
| 1447405253 | Newark Beth Israel Medical Center Inc | Psychologist | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-11-20 |
| 1962524975 | Khalid Zuhayr Tabbarah | Psychiatry & Neurology | 166 Lyons Ave, Fhc/ground Floor, Newark, NJ 07112-2016 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1942386966 | Feminia Castro Mac | Pediatrics | 18 Ferry St, Newark, NJ 07105-1436 | 2006-10-31 |
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1275505844 | Ricardo Jp Ferraz | Pediatrics | 374 Chestnut St Ste A, Newark, NJ 07105-2495 | 2006-02-07 |
| 1417958463 | Ernest Frederick Joseph Siebold | Pediatrics | 282 The Green, University of Delaware, Student Health Service, Newark, DE 19716-8101 | 2005-08-02 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1215179312 | Pediaric Center 2000 Inc | Pediatrics | 571 N 6th St, Newark, NJ 07107-2501 | 2009-04-03 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| 1801967740 | Paulette Denise Stanford | Pediatrics | 90 Bergen St, Doc 4300, Newark, NJ 07103-2425 | 2006-11-13 |
| 1063434447 | Pauline A Walks-akintobi | Pediatrics | 741 Broadway, Newark, NJ 07104-4309 | 2006-07-24 |
| 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.