GERARD FULDA (NPI# 1346225075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346225075 |
| Entity Type | Individual |
| Full Name | GERARD FULDA |
| Credential | MD |
| Practice Address |
4735 Ogletown Stanton Rd Medical Arts Pavilion 2, Suite 3301 Newark DE 19713-2072 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026234370 |
| Practice Fax Number | 3026234375 |
| Mailing Telephone | 3026237362 |
| Mailing Fax Number | 3026237374 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
C10002580 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
4735 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 2, SUITE 3301 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415651 | Susan L Chudzik | Nurse Practitioner | 4735 Ogletown Stanton Rd, Mapii Suite 2123, Newark, DE 19713-2072 | 2005-05-27 |
| 1487295721 | Michael Rajnherc | Nurse Anesthetist, Certified Registered | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-10-07 |
| 1679131221 | Kathryn Margaret Godfrey | Psychologist | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-05-30 |
| 1952827446 | Robert F. Onyango | Registered Nurse | 4735 Ogletown Stanton Rd, Map 2, Suite 1250, Newark, DE 19713-2076 | 2017-08-17 |
| 1225565070 | Steven James Larrimore | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-05-11 |
| 1861926032 | Heidi Huntington | Clinical Nurse Specialist | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-04-14 |
| 1336688662 | Alana Coppol Disabatino | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 1250, Newark, DE 19713-2072 | 2017-02-20 |
| 1235678087 | Kimberly Wanner | Nurse Practitioner | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072 | 2017-02-13 |
| 1255878047 | Bioidentical Options, LLC | Specialist | 4735 Ogletown Stanton Rd, Medical Arts Pavilion II Suite 2310, Newark, DE 19713-2072 | 2017-01-31 |
| 1306396650 | Ali Kalamchi, Md | Orthopaedic Surgery | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2016-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1639143514 | Jeffry Zern | Surgery | 4735 Ogletown-stanton Road, Suite 1204, Newark, DE 19713 | 2006-02-15 |
| 1396027991 | Sandra P Medinilla | Surgery | 4735 Ogletown Stanton Road, Map 2, Suite 3301, Newark, DE 19713-0000 | 2011-09-09 |
| 1750672614 | Wei Wei Zhang | Surgery | 150 Bergen St, Newark, NJ 07103 | 2011-04-27 |
| 1538489687 | Marcin Andrew Jankowski | Surgery | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2010-06-10 |
| 1184948861 | Anastasia Kunac | Surgery | 150 Bergen St, University Hospital Division of Trauma, Newark, NJ 07103-2496 | 2010-03-24 |
| 1225294507 | Stephanie Lynn Bonne | Surgery | 185 S Orange Ave, Msb-g584, Newark, NJ 07103-2757 | 2008-08-05 |
| 1477764306 | Upa Ab LLC | Surgery | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-24 |
| 1427123629 | Anne Mosenthal | Surgery | 150 Bergen St, Trauma and Surgical Critical Care, Newark, NJ 07103-2496 | 2006-11-22 |
| 1205905031 | Ziad C. Sifri | Surgery | 150 Bergen St, Er and Trauma Unit, Newark, NJ 07103-2496 | 2006-11-07 |
| 1639197874 | David H. Livingston | Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-17 |
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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.