DR MICHAEL VASSALLO, INC (NPI# 1396360319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396360319 |
| Entity Type | Organization |
| Organization Name | DR MICHAEL VASSALLO, INC |
| Practice Address |
335 Wyckoff Ave Wyckoff NJ 07481-2237 |
| Practice Telephone | 2019136088 |
| Mailing Telephone | 2019136088 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | DR. MICHAEL A VASSALLO (OWNER) |
| Authorized Official Telephone | 2019136088 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | 25-MB059472-00 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. MICHAEL A VASSALLO | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Wyckoff Ave, Wyckoff, NJ 074812237 | 2019136088 |
| Street Address |
335 WYCKOFF AVE |
| City | WYCKOFF |
| State | NJ |
| Zip Code | 07481-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992219281 | Sunshine Home Health Services, L.l.c | Home Health | 545 Goffle Rd Ste 6, Wyckoff, NJ 07481 | 2017-11-22 |
| 1609385491 | Elite Wellness Spine and Sports | Chiropractor | 529 Goffle Road, Wyckoff, NJ 07481 | 2017-09-25 |
| 1528434289 | Nicole Maskery | Physical Therapist | 33 Shadyside Dr, Wyckoff, NJ 07481 | 2015-08-18 |
| 1720480122 | Center for Remote Medical Management LLC | Clinic/Center | 245 Madison Ave Ste 2a, Wyckoff, NJ 07481 | 2014-09-17 |
| 1164671053 | Barbara Holub Bizub | Chiropractor | 393 Crescent Avenue, Suite G, Wyckoff, NJ 07481 | 2008-09-16 |
| 1235302175 | Vincent William Hermida Jr. | Dentist | 235 Godwin Ave, Wyckoff, NJ 07481 | 2008-04-11 |
| 1447456629 | Giuseppe Giovatto Jr. | Chiropractor | 615 Wyckoff Ave Ste 1, Wyckoff, NJ 07481 | 2007-06-25 |
| 1114149408 | Evalyn F Lambert | Speech-Language Pathologist | 312 William Way, Wyckoff, NJ 07481 | 2007-05-03 |
| 1447475173 | Nancy G Hulsizer | Social Worker | 474 Florence Ave, Wyckoff, NJ 07481 | 2007-04-16 |
| 1174655039 | Andrew Werner Phillips | Dentist | 235 Madison Ave, Wyckoff, NJ 07481 | 2007-03-09 |
| Find all providers in zip 07481 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003007360 | Tina Deborah Montemurno | Anesthesiology | 500 W Main St Ste 16, Wyckoff, NJ 07481-1406 | 2007-08-01 |
| 1396299582 | Ny Nj Anesthesia LLC | Anesthesiology | 637 Wyckoff Ave, Suite 337, Wyckoff, NJ 07481-1438 | 2016-08-05 |
| 1720407299 | Alexander Grant | Anesthesiology | 500 W Main St Ste 16, Wyckoff, NJ 07481-1406 | 2014-04-14 |
| 1730314972 | Tashil Kim Ju | Anesthesiology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | 2009-05-18 |
| 1164588935 | Jeffrey B. Magnes | Anesthesiology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | 2006-12-28 |
| 1255492310 | Pamela Sue Lavrich | Anesthesiology | 500 W Main St, Wyckoff, NJ 07481-1439 | 2006-12-13 |
| 1619909736 | Chaim E Rosen | Anesthesiology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | 2006-07-07 |
| 1073544326 | Stephen Gal | Anesthesiology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | 2006-07-05 |
| 1972541787 | John Vincent Azzariti Jr. | Anesthesiology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | 2006-06-03 |
| 1225083124 | Theodore James Beke | Anesthesiology | 500 W Main St, Wyckoff, NJ 07481-1439 | 2006-05-23 |
| Find all providers in WYCKOFF | ||||
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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.