S M GOLAM KIBREA (NPI# 1306012182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306012182 |
| Entity Type | Individual |
| Full Name | S M GOLAM KIBREA |
| Credential | M.D. |
| Practice Address |
170 Prospect Ave Suite 6 Hackensack NJ 07801 |
| Mailing Address |
1809 John F. Kennedy Blvd Ground Floor Jersey City NJ 07305 |
| Practice Telephone | 2017636664 |
| Practice Fax Number | 2016215820 |
| Mailing Telephone | 2017636664 |
| Mailing Fax Number | 2016215820 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA08794300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
170 PROSPECT AVE, SUITE 6 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| 1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
| Find all providers in zip 07801 | ||||
| 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 |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1982245932 | Wellcare Tccm | Internal Medicine | 250 Moore St, Hackensack, NJ 07601-7506 | 2019-10-01 |
| 1215598826 | Medcare Practice, LLC | Internal Medicine | 2 University Plaza, Suite 100 #29, Hackensack, NJ 07601-6210 | 2019-06-25 |
| 1922573740 | Advanced Wound Care | Internal Medicine | 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 | 2018-10-08 |
| 1962812875 | Shreemayee De | Internal Medicine | 360 Essex St Ste 301, Hackensack, NJ 07601-8566 | 2014-04-30 |
| 1467893917 | Nikki Bajaj | Internal Medicine | 260 Prospect Ave, Apt 163, Hackensack, NJ 07601-2600 | 2013-07-12 |
| 1659636967 | Laura Dutu | Internal Medicine | 20 Prospect Ave Ste 715, Hackensack, NJ 07601-1989 | 2012-07-12 |
| 1639309347 | Eshwa B Ahmadi | Internal Medicine | 30 Euclid Ave Apt 4f, Hackensack, NJ 07601-4568 | 2009-07-16 |
| 1992969059 | David Louis Broadnax | Internal Medicine | 386 Second Street, Hackensack, NJ 07601 | 2008-07-17 |
| 1811023682 | Aret Y Kahyaoglu | Internal Medicine | 165 Summit Ave, Hackensack, NJ 07601-1311 | 2007-02-26 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07801 |
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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.