DR. MICHAEL J. VONBOSE (NPI# 1386879443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386879443 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. VONBOSE |
| Credential | MD, FACEP |
| Practice Address |
111 Central Ave Newark NJ 07102-1909 |
| Mailing Address |
163 Mulberry St # 17 New York NY 10013-6101 |
| Practice Telephone | 9738775500 |
| Practice Fax Number | 9738775690 |
| Mailing Telephone | 9173757417 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2010-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
25MA04102000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0934607 | 05 |
| Street Address |
111 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687806 | Sandhya R Makkapati | Specialist | 111 Central Ave, Newark, NJ 07102-1909 | 2005-05-23 |
| 1740892496 | Stella Monday Wangai | Nurse Practitioner | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-22 |
| 1144832932 | Sonya Wali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-21 |
| 1023620358 | Chrystina Mildred Kiwan | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1518579838 | Alicia Kovach | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1861003659 | Riyashat Kazmi | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-13 |
| 1114537610 | Kalee Larsen | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-09 |
| 1215547567 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-02 |
| 1720697238 | Sneha Bijoy | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| 1407465891 | Ruhma Ali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990680 | Maureen Gang | Emergency Medicine | 150 Bergen St # Streetc, Newark, NJ 07103 | 2005-08-26 |
| 1003278664 | Sepehr Sedigh Haghighat | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2016-03-23 |
| 1831432426 | Jeremy Berberian | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2360 | 2013-04-01 |
| 1134305667 | Latisse Monique Mays-stovall | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2008-01-15 |
| 1073563987 | Ronald J. Ellis | Emergency Medicine | 2600 Glasgow Avenue, Suite 100, Newark, DE 19702 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820788 | Sandra Rose Green | Emergency Medicine | 200 Spring Valley Ave, Hackensack, NJ 07601-2944 | 2019-09-19 |
| 1841708914 | Paraflightems | Emergency Medicine | 100 Gudz Rd, Lakewood, NJ 08701-2320 | 2018-01-11 |
| 1790028413 | Albert Shu He | Emergency Medicine | 20 Livingston Ave Unit 705, New Brunswick, NJ 08901-1995 | 2013-04-01 |
| 1851524862 | Andrew Berens | Emergency Medicine | 157 Sagamore Rd, Millburn, NJ 07041-2147 | 2009-08-25 |
| 1538310099 | Walter Patrick De Palma | Emergency Medicine | 2123 Shore Rd, Linwood, NJ 08221-2125 | 2008-10-02 |
| 1518115336 | Meenu Grover | Emergency Medicine | 21 Surrey Ln, Mahwah, NJ 07430-2502 | 2008-09-04 |
| 1477711927 | Ming-hong Wu | Emergency Medicine | 5 Moller St, Tenafly, NJ 07670-2019 | 2008-05-30 |
| 1396960464 | Charlotte Ann Alspach | Emergency Medicine | 2355 Ocean Dr, Avalon, NJ 08202-2070 | 2007-04-16 |
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1568555357 | Julie S Whitney | Emergency Medicine | 325 Marlton Pike E, Cherry Hill, NJ 08034-2408 | 2006-10-02 |
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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.