CHRISTOPHER R DAMICO (NPI# 1386611218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386611218 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER R DAMICO |
| Credential | D.O. |
| Practice Address |
150 Lakeside Blvd Landing NJ 07850-1119 |
| Practice Telephone | 9733986300 |
| Practice Fax Number | 9733986399 |
| Mailing Telephone | 9733986300 |
| Mailing Fax Number | 9733986399 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MB56916 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5495504 | 05 |
| Street Address |
150 LAKESIDE BLVD |
| City | LANDING |
| State | NJ |
| Zip Code | 07850-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164821500 | Aaron J Siegel | Registered Nurse | 150 Lakeside Blvd, Suite #1, Landing, NJ 07850-1144 | 2014-08-21 |
| 1225289812 | William C. Herdman | Optometrist | 150 Lakeside Blvd, Suite 4, Landing, NJ 07850-1144 | 2008-10-01 |
| 1083676910 | Joseph W Purcell | Family Medicine | 150 Lakeside Blvd, Landing, NJ 07850-1119 | 2006-04-05 |
| 1578525432 | Shefali A Shah | Family Medicine | 150 Lakeside Blvd, Landing, NJ 07850-1119 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750772844 | Healing The Way LLC | Clinic/Center | 606 Dorothy Ln, Landing, NJ 07850 | 2015-02-10 |
| 1992007520 | Genesis | Skilled Nursing Facility | 503 Dell Road, Landing, NJ 07850 | 2010-12-02 |
| 1063583474 | David L Guignard Dmd PC | Dentist | 143 Lakeside Blvd, Landing, NJ 07850 | 2006-11-10 |
| 1083828941 | Mark M. Mcnear | Social Worker | 215 Kings Hwy, Landing, NJ 07850-1060 | 2007-05-10 |
| 1528165388 | Pathmark Stores Inc | Pharmacy | 175 Lakeside Blvd, Landing, NJ 07850-1109 | 2006-09-20 |
| 1841468089 | Priscilla Mccarthy | Pharmacist | 175 Lakeside Blvd, Landing, NJ 07850-1109 | 2008-02-11 |
| 1043242407 | Nancy Lee Gallagher | Chiropractor | 143 Lakeside Blvd, Landing, NJ 07850-1123 | 2006-07-07 |
| 1841766490 | Premier Dentistry of Morris | Dentist | 143 Lakeside Blvd, Landing, NJ 07850-1123 | 2018-10-22 |
| 1598117715 | At Home Care, Inc. | Home Health | 143 Lakeside Blvd, Ste 8, Landing, NJ 07850-1123 | 2016-07-12 |
| 1356590558 | David L Guignard | Dentist | 143 Lakeside Blvd, Landing, NJ 07850-1123 | 2008-09-11 |
| Find all providers in zip 07850 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083676910 | Joseph W Purcell | Family Medicine | 150 Lakeside Blvd, Landing, NJ 07850-1119 | 2006-04-05 |
| 1578525432 | Shefali A Shah | Family Medicine | 150 Lakeside Blvd, Landing, NJ 07850-1119 | 2006-04-05 |
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|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
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| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| 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.