DR. WONDWESSEN BEKELE (NPI# 1356317028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356317028 |
| Entity Type | Individual |
| Full Name | DR. WONDWESSEN BEKELE |
| Credential | MD |
| Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Mailing Address |
10 Glutting Pl East Hanover NJ 07936-3055 |
| Practice Telephone | 9739267161 |
| Practice Fax Number | 9732820395 |
| Mailing Telephone | 9739267161 |
| Mailing Fax Number | 9732820395 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MA36065 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326284613 | Marianna De Benedictis | Pediatrics | 201 Lyons Ave, Newark, NJ 07112 | 2008-12-17 |
| 1245486141 | Harini Rao | Pediatrics | 201 Lyons Ave # L5, Newark, NJ 07112-2027 | 2008-08-11 |
| 1598780371 | Peri Kamalakar | Pediatrics | 201 Lyons Ave, Valerie Fund Childrens Center, Newark, NJ 07112-2027 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058851 | Craig L Tendler | Pediatrics | 920 Route 202, Raritan, NJ 08869-1420 | 2013-03-30 |
| 1093948606 | Lewis J Cohen | Pediatrics | 2 Richmond Dr, Basking Ridge, NJ 07920-4242 | 2009-08-30 |
| 1932356169 | Richard S. Ungerleider | Pediatrics | 22 Bayside Dr, Atlantic Highlands, NJ 07716-1735 | 2008-08-19 |
| 1598923096 | Archana Sharma | Pediatrics | 195 Little Albany St Rm 3507, Cancer Insitute of Nj, New Brunswick, NJ 08901-1914 | 2008-05-30 |
| 1043486640 | Amirtha Naadimuthu | Pediatrics | 19 Cheyenne Dr, Pennington, NJ 08534-5124 | 2008-05-03 |
| 1235302001 | Sergio Piomelli | Pediatrics | 599 Overlook Pl, Englewood, NJ 07631-5104 | 2008-04-11 |
| 1174698096 | Jennifer Anne Krajewski | Pediatrics | 30 Prospect Ave, Wfan Bldg, 1st Floor, Office 137, Hackensack University Medical Center, Hackensack, NJ 07601 | 2006-11-24 |
| 1699744037 | Michael B Harris | Pediatrics | Hackensack University Medical Center, PC116, 30 Prospect Ave, Hackensack, NJ 07601 | 2006-03-17 |
| 1245673912 | Kathryn Loughlin Laurie | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-12 |
| 1205178787 | Andrew Mitchell Silverman | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
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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.