DR. RICHARD EDWARD CONSTABLE (NPI# 1376572198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376572198 |
| Entity Type | Individual |
| Full Name | DR. RICHARD EDWARD CONSTABLE |
| Credential | MD |
| Practice Address |
655 Amboy Ave Ste C Woodbridge NJ 07095-3159 |
| Practice Telephone | 7323644440 |
| Mailing Telephone | 7323644440 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
37639 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
655 AMBOY AVE STE C |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1083155808 | Kenneth Madueke | Nurse Practitioner | 404 Kings Ct, Woodbridge, NJ 07095 | 2017-03-13 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| Find all providers in zip 07095 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942333703 | Richard Edward Constable Md PC | Surgery | 655 Amboy Ave, Suite C, Woodbridge, NJ 07095-3159 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609137348 | Christopher Alan Butts | Surgery | 125 Paterson St Ste 6300, New Brunswick, NJ 08901 | 2012-05-30 |
| 1265452221 | Bruno Molino | Surgery | Jersey City Medical Center, Dept. of Surgery, 355 Grand Street, Jersey City, NJ 07302 | 2006-07-20 |
| 1689606956 | Liberty Surgical Associates | Surgery | 377 Jersey Avenue, Suite 220, Jersey City, NJ 07302-4396 | 2006-07-07 |
| 1396799565 | Vincent Lavaughn Moss | Surgery | 98 James St 202, Edison, NJ 08820-3902 | 2006-05-20 |
| 1356730873 | Nikolas Sebastian Kappy | Surgery | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2015-01-21 |
| 1609215029 | Amanda Liane Teichman | Surgery | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2013-06-19 |
| 1477825891 | Tanya Egodage | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-01-31 |
| 1083907224 | Capital Health Surgical Group | Surgery | 40 Fuld St, Suite 303, Trenton, NJ 08638-5247 | 2011-05-20 |
| 1679884431 | Anna Goldenberg | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-27 |
| 1831422260 | Seung Hoon Shin | Surgery | 1945 State Route 33, Neptune, NJ 07753-4859 | 2009-09-17 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
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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.