CHRISTOPHER L PETTI (NPI# 1285678169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285678169 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER L PETTI |
| Credential | MD |
| Practice Address |
180 N Dean St Englewood NJ 07631 |
| Practice Telephone | 2015684242 |
| Practice Fax Number | 2015681298 |
| Mailing Telephone | 2015684242 |
| Mailing Fax Number | 2015681298 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA07059300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
180 N DEAN ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508231465 | Digital Imaging Center, P.a. | Radiology | 180 N Dean St, Englewood, NJ 07631-2534 | 2015-12-03 |
| 1982966560 | Richard A. D'amico, Md Pa | Plastic Surgery | 180 N Dean St, Suite 3n, Englewood, NJ 07631-2534 | 2012-06-11 |
| 1811273485 | Kenneth Fried Md Pa | Surgery | 180 N Dean St, Suite 2, Englewood, NJ 07631-2539 | 2011-10-27 |
| 1932399672 | Urology Center P A | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2007-07-30 |
| 1871650325 | Bergen Pulmonary & Sleep Specialists, L.L.C. | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2007-01-03 |
| 1518021716 | Brian A Benoff | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-12-21 |
| 1710046800 | Adam Glassman | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-12-06 |
| 1982787321 | Stuart L. Silberstein | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-10-21 |
| 1114961497 | Carolyn E Goodstein Md Pa | Allergy & Immunology | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-06-16 |
| 1225085152 | Kenneth Steven Fried | Surgery | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-05-27 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417104399 | Sean Enis | Radiology | 189 Lyman Pl, Englewood, NJ 07631-3609 | 2008-08-22 |
| 1609928126 | Bergen Imaging Ctr Pa | Radiology | 180 North Dean St, Englewood, NJ 07631 | 2007-01-17 |
| 1982641916 | Bao C Nguyen | Radiology | 9780 Mt Pyramid Ct, Suite 160, Englewood, CO 80112-7054 | 2006-05-31 |
| 1316926272 | Allison Luanne Summers | Radiology | 383 Inverness Pkwy, Suite 280, Englewood, CO 80112-5865 | 2006-01-10 |
| 1821073180 | Joel A. Budin | Radiology | 355 Broad Ave, Englewood, NJ 07631-4348 | 2005-12-09 |
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1487640462 | Dulcy E Wolverton | Radiology | 10700 E. Geddes Ave, Attn: Credentialing, Englewood, CO 80112-3681 | 2005-09-23 |
| 1518963214 | South Denver Integrated Imaging LLC | Radiology | 14251 E Fremont Ave, Englewood, CO 80112-4443 | 2005-06-27 |
| 1356345680 | Benjamin E Kassanoff | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2005-05-31 |
| 1922556083 | Ugorji Radiology Consultants, LLC | Radiology | 7550 S Blackhawk St, #6-208, Englewood, CO 80112-4068 | 2016-09-19 |
| 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.