DR. ELLIOT BRETT SAMBOL (NPI# 1336391499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336391499 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT BRETT SAMBOL |
| Credential | M.D. |
| Practice Address |
5 Plainsboro Road Suite 400 Plainsboro NJ 08536-1913 |
| Practice Telephone | 6099369100 |
| Practice Fax Number | 6099369700 |
| Mailing Telephone | 6099369100 |
| Mailing Fax Number | 6099369700 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA08575700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0214736 | 05 |
| Street Address |
5 PLAINSBORO ROAD SUITE 400 |
| City | PLAINSBORO |
| State | NJ |
| Zip Code | 08536-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085937 | Kenneth A Goldman | Specialist | 5 Plainsboro Road, Suite 400, Plainsboro, NJ 08536-1913 | 2005-10-04 |
| 1255841284 | Nicole May Detlet | Dietitian, Registered | 5 Plainsboro Road, Plainsboro, NJ 08536 | 2017-10-04 |
| 1659796183 | Mark Schwartz | Internal Medicine | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2014-02-20 |
| 1881015659 | Christine M Fanning | Hospitalist | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2013-12-22 |
| 1518194323 | Princeton Healthcare Affiliated Physicians PC | Nurse Practitioner | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536-1915 | 2009-06-18 |
| 1730196478 | Arunima Mamidi | Internal Medicine | 5 Plainsboro Road, Suite 360, Plainsboro, NJ 08536 | 2006-08-02 |
| 1841207578 | Mamidi Arunima Md LLC | Internal Medicine | 5 Plainsboro Road, Suite 360, Plainsboro, NJ 08536-1913 | 2006-08-02 |
| 1235163833 | David B Sokol | Internal Medicine | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2006-07-10 |
| 1770517377 | Kathryn J Robison | Internal Medicine | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2006-07-10 |
| 1720019052 | Kenneth H Goldblatt | Internal Medicine | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2006-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524768 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13101 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1629635867 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13104 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1720575178 | Life Clinic of Nj Dc Pa | Chiropractor | 7 Forrestal Road S, Plainsborough, NJ 08536 | 2018-04-20 |
| 1124527437 | Lee-yen Shu | Physical Therapist | 408 Plainsboro Road, Plainsboro, NJ 08536 | 2018-02-02 |
| 1295261543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-15 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1972039212 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24-11 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1669908901 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1831625177 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1659807998 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1205218971 | Bancroft Neurohealth | Clinic/Center | 666 Plainsboro Road Suite 2000c, Plainsboro, NJ 08536 | 2015-06-18 |
| Find all providers in zip 08536 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | PLAINSBORO |
| Zip Code | 08536 |
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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.