DR. MELISSA BAHAREH BAGLOO (NPI# 1407016108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407016108 |
| Entity Type | Individual |
| Full Name | DR. MELISSA BAHAREH BAGLOO |
| Credential | MD |
| Practice Address |
579 Franklin Tpke Ridgewood NJ 07450-1990 |
| Practice Telephone | 2012513480 |
| Practice Fax Number | 2016892393 |
| Mailing Telephone | 2012513480 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MA08805600 | NJ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 246679-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03112663 | 05 |
| Street Address |
579 FRANKLIN TPKE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194895300 | Ting-wen A Lee | Pediatrics | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2006-11-08 |
| 1891992236 | Mayra Lopez | Nurse Practitioner | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346513041 | Archana Raman | Surgery | 1200 E Ridgewood Ave Ste 203, Ridgewood, NJ 07450-3937 | 2012-02-12 |
| 1013954205 | Mary Ann Benigno | Surgery | 145 Prospect Street, Ridgewood, NJ 07450 | 2006-05-31 |
| 1306845540 | Edward A Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2005-07-19 |
| 1912465980 | Elvita Genelus-dominique, D.o, F.a.c.s, P.c | Surgery | 5850 Catalpa Ave, Ridgewood, NY 11385-5028 | 2019-03-07 |
| 1477966513 | Gerald Valme, PC | Surgery | 1010 Ocean Avenue, Gerald Valme, PC, Ridgewood, NY 11385-5028 | 2014-06-06 |
| 1528312923 | North Jersey Neurosurgical Associates, Pa | Surgery | 225 Dayton St, Ridgewood, NJ 07450-4407 | 2012-11-07 |
| 1750517801 | Chidambaram Raman Md LLC | Surgery | 1200 E Ridgewood Ave, West Wing, 2nd Floor, Ridgewood, NJ 07450-3957 | 2009-06-03 |
| 1730326356 | Advanced Laparoscopic Specialists | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2009-01-20 |
| 1255452447 | Anthony Enrico Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2007-04-03 |
| 1144340001 | Advanced Laparoscopic Surgical | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2007-04-01 |
| Find all providers in RIDGEWOOD | ||||
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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.