THE CLEANSING CLINIC PA (NPI# 1386914620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386914620 |
| Entity Type | Organization |
| Organization Name | THE CLEANSING CLINIC PA |
| Other Organization Name | THE CLEANSING CENTER |
| Practice Address |
90 Millburn Ave Suite 201 Millburn NJ 07041-1945 |
| Practice Telephone | 9733130028 |
| Practice Fax Number | 9733130062 |
| Mailing Telephone | 9733130028 |
| Mailing Fax Number | 9733130062 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | KENNETH LEWANDOWSKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9733130028 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MB57910 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Cleansing Center | Doing Business As Name - Organization |
| Street Address |
90 MILLBURN AVE SUITE 201 |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454066 | Ann Marie Comandatore | Pediatrics | 90 Millburn Ave, Suite 101, Millburn, NJ 07041-1945 | 2005-08-12 |
| 1720523822 | Stacie Shivers | Psychologist | 90 Millburn Ave, Suite 102, Millburn, NJ 07041-1945 | 2016-12-27 |
| 1164872206 | Sarah Hassan | Psychologist | 90 Millburn Ave, Millburn, NJ 07041 | 2016-06-20 |
| 1427404896 | Meredith Cregg-wedmore | Psychologist | 90 Millburn Ave, Suite 102, Millburn, NJ 07041-1945 | 2016-05-04 |
| 1356714273 | Laura Myhr | Psychologist | 90 Millburn Ave, #202a, Millburn, NJ 07041-1945 | 2015-11-02 |
| 1306226683 | Parin Kamdar | Psychologist | 90 Millburn Ave, Suite 102, Millburn, NJ 07041-1945 | 2015-06-02 |
| 1013305101 | Jason D Rodker | Psychologist | 90 Millburn Ave, Millburn, NJ 07041-1945 | 2014-12-26 |
| 1730595174 | Carrie Hammer | Registered Nurse | 90 Millburn Ave, Suite 206, Millburn, NJ 07041-1945 | 2014-07-07 |
| 1518377597 | Meredith Carleton | Psychologist | 90 Millburn Ave, Suite 202, Millburn, NJ 07041-1945 | 2014-04-30 |
| 1568891166 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 90 Millburn Ave, Millburn, NJ 07041-1945 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669875407 | Steven Craig Linn | Preventive Medicine | 1505 W. Sherman Ave, Inspira Health Network, Vineland, NJ 08360 | 2014-10-08 |
| 1346668928 | Zachary Chusid Williamson | Preventive Medicine | 508 Carnegie Ctr, Princeton, NJ 08540-6259 | 2014-04-01 |
| 1396000246 | Michael C Sokol | Preventive Medicine | 34 Princeton Ct, Basking Ridge, NJ 07920-4248 | 2012-07-06 |
| 1669746327 | George T Diferdinando Jr. | Preventive Medicine | 683 Hoes Ln W, Umdnj Sph Room 129, Piscataway, NJ 08854-8021 | 2012-02-28 |
| 1568748499 | Andres Digenio | Preventive Medicine | 805 Sunny Slope Rd, Bridgewater, NJ 08807-3603 | 2011-10-24 |
| 1477838811 | Betterhabits Health Services, LLC | Preventive Medicine | 253 Warren Ave, Fort Lee, NJ 07024-4108 | 2011-10-17 |
| 1679862049 | Whitney Charnell Dessio | Preventive Medicine | 30 Landau Rd, Basking Ridge, NJ 07920-3717 | 2011-04-06 |
| 1013170083 | Russell V Silverman | Preventive Medicine | 110 E Maryland Ave, Somers Point, NJ 08244-2525 | 2008-07-09 |
| 1134388705 | Andrew David Miller | Preventive Medicine | 8 Lancashire Dr, Princeton Junction, NJ 08550-1210 | 2008-06-08 |
| 1245406172 | Wanju Shaw Dai | Preventive Medicine | 235 Kociemba Dr, Rivervale, NJ 07675-5531 | 2008-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE CLEANSING CLINIC PA.
| 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.