ELIZABETH EMERGENCY PHYSICIANS, L.L.C. (NPI# 1427098763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427098763 |
Entity Type | Organization |
Organization Name | ELIZABETH EMERGENCY PHYSICIANS, L.L.C. |
Practice Address |
225 Williamson Street Elizabeth NJ 07207-3600 |
Mailing Address |
66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4918 |
Practice Telephone | 9082575000 |
Mailing Telephone | 7322120051 |
Mailing Fax Number | 7322120713 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2008-04-20 |
Authorized Official Name | DR. PAUL T JORDAN (CHAIRMAN) |
Authorized Official Telephone | 9089945263 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | ========= | NJ | Allopathic & Osteopathic Physicians |
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
========= | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | GHI | 5506134 | 01 |
NJ | AETNA | 2069262 | 01 |
NJ | UNIVERSITY HEALTH PLANS | 20990 | 01 |
NJ | HEALTH NET OF THE NORTHEA | 2K3577 | 01 |
NJ | UNITED HEALTHCARE | 0218957 | 01 |
NJ | 7811403 | 05 | |
NJ | RAILROAD MEDICARE | CI3012 | 01 |
NJ | WELLCHOICE | W3M98 | 01 |
NJ | NY MEDICAID | 02041596 | 01 |
NJ | HORIZON NJ HEALTH | 1125336 | 01 |
NJ | OXFORD | G1099898 | 01 |
Street Address |
225 WILLIAMSON STREET |
City | ELIZABETH |
State | NJ |
Zip Code | 07207-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134190325 | Leon Pirak | Anesthesiology | 225 Williamson Street, Elizabeth, NJ 07207-3625 | 2006-01-27 |
1992316012 | Daniel Attalla | Student in an Organized Health Care Education/Training Program | 225 Williamson Street, Elizabeth, NJ 07202 | 2020-08-12 |
1861013039 | Kashif Aziz | Student in an Organized Health Care Education/Training Program | 225 Williamson Street, Elizabeth, NJ 07202 | 2020-04-29 |
1740767672 | Midhun Mathew | Student in an Organized Health Care Education/Training Program | 225 Williamson Street, Trinitas Regional Medical Center, Elizabeth, NJ 07202 | 2018-07-24 |
1417459660 | Chandula Priyamalee Seneviratne | Student in an Organized Health Care Education/Training Program | 225 Williamson Street, Elizabeth, NJ 07202 | 2018-03-04 |
1528598133 | Jonathan Pirak | Student in an Organized Health Care Education/Training Program | 225 Williamson Street, Elizabeth, NJ 07202 | 2017-06-15 |
1912308925 | Trinitas Regional Medical Center - Sleep Disorder Center | Internal Medicine | 225 Williamson Street, Elizabeth, NJ 07207 | 2014-09-09 |
1134235013 | Eli Finkelstein Md Associates P.C. | Radiology | 225 Williamson Street, Elizabeth, NJ 07207 | 2006-08-22 |
1649299553 | Teimouraz Vassilidze | Anesthesiology | 225 Williamson Street, Elizabeth, NJ 07202 | 2006-07-19 |
1861463135 | Kathleen Chiong Nepomuceno | Anesthesiology | 225 Williamson Street, Elizabeth, NJ 07207-3625 | 2006-01-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518262088 | Addi Suleiman | Internal Medicine | 225 Williamson, Elizabeth, NJ 07207 | 2011-01-14 |
1871803734 | Home-sweet-home Cares | In Home Supportive Care | 519 Monroe Ave, Suite 4, Elizabeth, NJ 07207 | 2010-10-13 |
1336304823 | Kathryn Giles Groll | Advanced Practice Midwife | 225 Williamson Ave, Elizabeth, NJ 07207 | 2008-07-23 |
1811047095 | Intervention Specialists LLC | Clinic/Center | 453 Morris Ave, Suite 1b, Elizabeth, NJ 07207 | 2007-01-11 |
1932143112 | Manjula Vara | Pathology | Trinitas Hospital, 225 Williamson St, Elizabeth, NJ 07207 | 2006-06-16 |
1063677029 | Joseph Michael Haig | Emergency Medicine | 225 Williamson St, Emergency Medicine Department, Elizabeth, NJ 07207 | 2008-07-18 |
1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
1063552016 | Jacques G Losman | Surgery | 240 Williamson Street, Suite 104, Elizabeth, NJ 07207 | 2007-02-07 |
1588730212 | Mary G Cholankeril | Internal Medicine | 240 Williamson St, Ste 205, Elizabeth, NJ 07207 | 2006-11-27 |
1790892941 | Lucyamma Thalody | Internal Medicine | 240 Williamson St, Suite 400, Elizabeth, NJ 07207 | 2006-08-24 |
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Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023351079 | Caroline O Black | Emergency Medicine | Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 | 2013-03-28 |
1922491547 | Hussain Shakir | Emergency Medicine | 254 Easton Ave, Department of Pediatrics, New Brunswick, NJ 08901-1766 | 2015-03-05 |
1235422171 | Mihir Vyas | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2011-05-25 |
1912211277 | Virteeka Sinha | Emergency Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2010-07-28 |
1417188772 | Ursula Laskowski-kos | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-08-05 |
1669616595 | Alexander Paul Materna | Emergency Medicine | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 2009-04-22 |
1558536920 | Elisabeth Fishbein | Emergency Medicine | 350 Engle Street, Englewood, NJ 07631 | 2008-04-28 |
1467640458 | Lisa A Drago | Emergency Medicine | 1 Cooper Plz, Cooper University Emergency Physicians, Camden, NJ 08103-1461 | 2007-10-04 |
1164547360 | John Bickford | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-03-20 |
1942330980 | Jeffrey A. Seiden | Emergency Medicine | 100 Bowman Dr, Chop Care Network At Virtua Voorhees Hospital, Voorhees, NJ 08043-9612 | 2007-03-07 |
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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.