ALEX R PAVON MD PC (NPI# 1407028657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407028657 |
| Entity Type | Organization |
| Organization Name | ALEX R PAVON MD PC |
| Practice Address |
106 W Palisade Ave Suite 101 Englewood NJ 07631-2633 |
| Mailing Address |
Po Box 5917 Englewood NJ 07631-5917 |
| Practice Telephone | 2015031000 |
| Practice Fax Number | 2015684300 |
| Mailing Telephone | 2015686200 |
| Mailing Fax Number | 2015684300 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | ALEX RODRIGO PAVON (OWNER) |
| Authorized Official Telephone | 2015031000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA07135200 | NJ | Ambulatory Health Care Facilities |
| Street Address |
106 W PALISADE AVE SUITE 101 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437585312 | Marietta Dublin-pavon | Nurse Practitioner | 106 W Palisade Ave, Englewood, NJ 07631-2633 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154626133 | Yeun Sook Kim | Clinic/Center | 533 Cumberland St, Englewood, NJ 07631-4705 | 2011-01-21 |
| 1306451612 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5000 | 2020-09-14 |
| 1780299263 | Arapahoe Mental Health Center, Inc | Clinic/Center | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-11 |
| 1477182665 | Community Supported Family Medicine, LLC | Clinic/Center | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2020-04-08 |
| 1568910610 | Gabrielle Josephine Mulderrig | Clinic/Center | 154 Engle St, Englewood, NJ 07631-2507 | 2016-09-19 |
| 1902275712 | Integrative Pediatric Health Care, LLC | Clinic/Center | 3701 S Clarkson St Ste 200, Englewood, CO 80113-3960 | 2015-09-22 |
| 1952732463 | Vision Lab, Inc. | Clinic/Center | 850 Englewood Pkwy, 100a, Englewood, CO 80110 | 2013-12-09 |
| 1992137988 | Community Supported Family Medicine LLC | Clinic/Center | 3333 S Bannock St Ste 820, Englewood, CO 80110-2422 | 2013-08-01 |
| 1427393271 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2012-12-05 |
| 1821297581 | Healthy Futures, PC | Clinic/Center | 300 E Hampden Ave, Suite 201, Englewood, CO 80113-2638 | 2007-07-13 |
| Find all providers in ENGLEWOOD | ||||
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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.