DR. STEPHEN SAMUEL FATSIS (NPI# 1316019789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316019789 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN SAMUEL FATSIS |
| Credential | DO |
| Practice Address |
303 Roseland Ave Essex Fells NJ 07021-1300 |
| Practice Telephone | 9732281419 |
| Mailing Telephone | 9732281419 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 25MB01896700 | NJ | Allopathic & Osteopathic Physicians |
| X | 207V00000X | Obstetrics & Gynecology | 25MB01896700 | NJ | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 25MB01896700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
303 ROSELAND AVE |
| City | ESSEX FELLS |
| State | NJ |
| Zip Code | 07021-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124589171 | Amy Smith | Occupational Therapist | 3 Wootton Rd, Essex Fells, NJ 07021-1116 | 2019-03-30 |
| 1205835030 | Michael Edward Schimler | Emergency Medicine | 19 Holly Ln, Essex Fells, NJ 07021-1208 | 2005-07-14 |
| 1720595770 | Alexandra Diane Boulanger | Behavioral Analyst | 3 Welsh Rd, Essex Fells, NJ 07021-1209 | 2017-12-29 |
| 1659384584 | Eleftherios Zisis | Surgery | 55 Hathaway Ln, Essex Fells, NJ 07021-1304 | 2006-08-14 |
| 1649480849 | Caroline Medina | Counselor | 271 Roseland Ave, Essex Fells, NJ 07021-1313 | 2007-05-23 |
| 1588874796 | Paraclete Counseling Center, LLC | Counselor | 271 Roseland Ave, Essex Fells, NJ 07021-1313 | 2007-05-23 |
| 1467895011 | Sarah Jane Fuzesi | Surgery | 45 Rensselaer Rd, Essex Fells, NJ 07021-1403 | 2013-04-14 |
| 1831549773 | Jennifer Skundrich | Behavioral Analyst | 38 Bloomfield Ave, Essex Fells, NJ 07021-1500 | 2016-06-21 |
| 1255516084 | Susan L. Cecere, M.d., LLC | General Practice | 60 Gordon Rd, Essex Fells, NJ 07021-1604 | 2007-12-28 |
| 1598772261 | Anthony J Digilio Jr. | Physical Medicine & Rehabilitation | 116 Gordon Rd, Essex Fells, NJ 07021-1622 | 2006-08-02 |
| Find all providers in zip 07021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | ESSEX FELLS |
| Zip Code | 07021 |
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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.