DR. EDWIN TEEHAN (NPI# 1366491532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366491532 |
| Entity Type | Individual |
| Full Name | DR. EDWIN TEEHAN |
| Credential | MD |
| Practice Address |
510 Hamburg Tpke Suite 205 Wayne NJ 07470-2025 |
| Mailing Address |
Po Box 4015 Clifton NJ 07012-0415 |
| Practice Telephone | 9737208333 |
| Practice Fax Number | 9737200408 |
| Mailing Telephone | 9737208333 |
| Mailing Fax Number | 9737200408 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MA056236 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6947204 | 05 |
| Street Address |
510 HAMBURG TPKE SUITE 205 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729475 | Cyrus Vosough | Physical Medicine & Rehabilitation | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025 | 2005-06-02 |
| 1659920700 | Sanjay Raval | Nurse Practitioner | 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 2019-09-10 |
| 1366829392 | Ellen Garfing | Nurse Practitioner | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2015-04-28 |
| 1154665743 | Melissa Gaydos | Nurse Practitioner | 510 Hamburg Tpke, #208, Wayne, NJ 07470-2025 | 2012-11-20 |
| 1982968517 | Russell Samofal | Podiatrist | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470 | 2012-06-28 |
| 1497072193 | Wayne Cardiology,llc | Internal Medicine | 510 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2025 | 2010-04-21 |
| 1023348281 | Michael Hubert Leonardo | Internal Medicine | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2010-01-10 |
| 1366675357 | Eraibe & Eraiba Internal Medicine | Internal Medicine | 510 Hamburg Tpke, Suit 208, Wayne, NJ 07470-2025 | 2009-08-25 |
| 1477790491 | Wayne Obstetrics & Gynecology Associates P C | Obstetrics & Gynecology | 510 Hamburg Tpke, Suite 202, Wayne, NJ 07470-2025 | 2009-01-13 |
| 1528225315 | Irfan R Farhat | Dentist | 510 Hamburg Tpke, Suit. 105, Wayne, NJ 07470-2025 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1174750889 | Cynthia E Weber | Surgery | 1680 Route 23 Ste 180, Wayne, NJ 07470-7522 | 2009-06-19 |
| 1710060314 | Bernard Henson | Surgery | 220 Hamburg Tpke Ste 18a, Wayne, NJ 07470-2132 | 2006-10-24 |
| 1073540613 | Michael H Bernstein | Surgery | 220 Hamburg Tpke Ste 2, Wayne, NJ 07470 | 2006-06-27 |
| 1053306357 | Joseph L Garcia | Surgery | 502 Hamburg Tpke, Suite 105, Wayne, NJ 07470-8431 | 2005-09-13 |
| 1023540960 | Pooja Upadhyaya Neiman | Surgery | 33155 Annapolis St, Wayne, MI 48184-2405 | 2017-03-30 |
| 1962892968 | Erwin Douyon, Md, PC | Surgery | 220 Hamburg Tpke, Suite 11, Wayne, NJ 07470-2110 | 2015-01-28 |
| 1861832578 | Michigan Surgical Associates Pllc | Surgery | 3106 S Wayne Rd, Wayne, MI 48184-1221 | 2013-06-26 |
| 1457698805 | Surgery Services | Surgery | 504 Valley Rd, Suite 201, Wayne, NJ 07470-3534 | 2013-01-04 |
| 1518198589 | Richard E Pelosi | Surgery | 1680 Route 23, Suite 250, Wayne, NJ 07470 | 2009-08-07 |
| 1427289883 | Adewunmi Adeyemo | Surgery | 3106 S Wayne Rd, Wayne, MI 48184-1221 | 2009-08-04 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on DR. EDWIN TEEHAN.
| 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.