EMMANUEL NEBECHUKWU EKULIDE (NPI# 1386803989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386803989 |
| Entity Type | Individual |
| Full Name | EMMANUEL NEBECHUKWU EKULIDE |
| Credential | M.D. |
| Practice Address |
43 Progress Street Suburban Treatment Associates Union NJ 07083 |
| Mailing Address |
626 Varsity Road South Orange NJ 07079-2652 |
| Practice Telephone | 9086877188 |
| Practice Fax Number | 9086870294 |
| Mailing Telephone | 9737626311 |
| Mailing Fax Number | 9733274601 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
25MA03447200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
43 PROGRESS STREET SUBURBAN TREATMENT ASSOCIATES |
| City | UNION |
| State | NJ |
| Zip Code | 07083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407086788 | Suzanne M Conte | Counselor | 43 Progress Street, D B A: Suburban Habit Opco, Union, NJ 07083 | 2009-07-21 |
| 1881820108 | Harry Martin Luther | Counselor | 43 Progress Street, Union, NJ 07083 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141883 | Genesis Addiction and Behavioral Medicine, LLC | Family Medicine | 61 Spring St Ste 3, Newton, NJ 07860-2072 | 2018-04-20 |
| 1336497106 | Yolanda I Dagnino | Family Medicine | 39 Anderson Pkwy, Cedar Grove, NJ 07009-1111 | 2012-08-27 |
| 1467642736 | Affiliated Medical Service | Family Medicine | 25 E Front St, Keyport, NJ 07735-1562 | 2007-08-01 |
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1043825250 | Recovery Wellness Group | Family Medicine | 205 W Parkway Dr, Egg Harbor Township, NJ 08234-5105 | 2020-09-14 |
| 1215566393 | Live Life Now Health Group of Nj PC | Family Medicine | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2020-04-02 |
| 1790329662 | Spero Physicians of New Jersey, PC | Family Medicine | 927 N Main St, Pleasantville, NJ 08232-1451 | 2019-11-04 |
| 1215588447 | South Jersey Medical Associates | Family Medicine | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2019-09-29 |
| 1396303459 | Rodney C. Brunson, Do PC | Family Medicine | 201 Tilton Rd Ste 12, Northfield, NJ 08225-1247 | 2019-06-04 |
| 1427589290 | Comprehensive Wellness, LLC | Family Medicine | 501 Tilton Rd, Egg Harbor City, NJ 08215-5125 | 2017-03-23 |
| 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.