DR. MARYELLEN PATRICIA BRUCATO (NPI# 1407148877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407148877 |
| Entity Type | Individual |
| Full Name | DR. MARYELLEN PATRICIA BRUCATO |
| Credential | DPM |
| Practice Address |
550 Kinderkamack Rd Suite 202 Oradell NJ 07649-1500 |
| Mailing Address |
103 Colfax Ave Fl 1 Pompton Lakes NJ 07442-1736 |
| Practice Telephone | 2012619445 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00315600 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
550 KINDERKAMACK RD SUITE 202 |
| City | ORADELL |
| State | NJ |
| Zip Code | 07649-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627149 | Daniel L. Margolin | Podiatrist | 550 Kinderkamack Rd, Suite 202, Oradell, NJ 07649-1500 | 2005-11-25 |
| 1568959021 | Tonja Alexandra Werkman | Dietitian, Registered | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2018-04-19 |
| 1417472408 | Saron Yohannes | Nurse Practitioner | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2017-08-10 |
| 1225564776 | Leading Edge Medical Center PC | General Practice | 550 Kinderkamack Rd, Ste. 203, Oradell, NJ 07649-1500 | 2017-05-03 |
| 1114460896 | Omic Inc | Clinic/Center | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2016-11-29 |
| 1407399249 | Oradell Medical Imaging Center, LLC | Clinic/Center | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2016-11-28 |
| 1932557048 | Maria Munoz-condis | Social Worker | 550 Kinderkamack Rd, Suite 113, Oradell, NJ 07649-1500 | 2016-05-31 |
| 1558718452 | Motion Physical Therapy and Wellness | Physical Therapist | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2016-05-20 |
| 1952720930 | Alandra Greenlee | Podiatrist | 550 Kinderkamack Rd, Oradell, NJ 07649-1500 | 2014-04-07 |
| 1235576679 | Tu Rehab LLC | Clinic/Center | 550 Kinderkamack Rd, North Building, Suite 203, Oradell, NJ 07649-1500 | 2013-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336598523 | Frances M Merz | Counselor | 456 Kinderkamack Rd, 21 F, Oradell, NJ 07649 | 2016-06-08 |
| 1144678863 | Another Perspective Counseling Services, LLC | Community/Behavioral Health | 456 Kinderkamack Rd, 21f, Oradell, NJ 07649 | 2016-06-03 |
| 1174874150 | Billie A Hagen | Specialist | 618 Veldran Ave, Oradell, NJ 07649 | 2012-10-01 |
| 1861780736 | Urmi Pranay Vaidya-mathur | Social Worker | 660 Kinderkamack Rd #205, Oradell, NJ 07649 | 2011-07-13 |
| 1801119896 | Personal Solutions, LLC | Social Worker | 297 Kinderkamack Road, Suite 212, Oradell, NJ 07649 | 2010-03-05 |
| 1437302015 | Lillian Paredes | Pathology | 838 Hennigar Place, Oradell, NJ 07649 | 2008-10-28 |
| 1679786370 | Mahmood M Zaitr | Dentist | 659 East Dr, Oradell, NJ 07649 | 2007-05-08 |
| 1235341009 | Victoria Ann Voskian | Dentist | 716 Soldier Hill Road, Oradell, NJ 07649 | 2007-05-04 |
| 1548308018 | Nicholas Ignazzi Sr. | Pharmacist | 223 Kinderkamack Road, Oradell, NJ 07649 | 2007-02-04 |
| 1477636348 | Guy Ernest Siraki | Chiropractor | 4 Marggraff Court, Oradell, NJ 07649 | 2006-10-23 |
| Find all providers in zip 07649 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831126 | Steven A Levy | Podiatrist | 297 Kinderkamack Rd, Oradell, NJ 07649-1538 | 2005-12-15 |
| 1386059558 | Daniel Waltuch | Podiatrist | 297 Kinderkamack Rd, Oradell, NJ 07649-1538 | 2014-06-26 |
| 1457563520 | Steven A. Levy, Dpm, PC | Podiatrist | 297 Kinderkamack Rd, Suite 208, Oradell, NJ 07649-1538 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
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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.