MRS. INGA BUFANO


Address: 1075 Central Ave, Clark, NJ 07066-1116
Phone: 7325741399

MRS. INGA BUFANO (NPI# 1437185345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437185345
Entity Type Individual
Full Name MRS. INGA BUFANO
Credential PA-C
Practice Address 1075 Central Ave
Clark
NJ 07066-1116
Mailing Address 469 Morris Ave Ste 3
Elizabeth
NJ 07208-2904
Practice Telephone 7325741399
Practice Fax Number 7325741433
Mailing Telephone 7325741399
Mailing Fax Number 7325741433
Enumeration Date 2006-06-23
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MP001871 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
010967 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ MEDICARE PTAN 179997 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
347 Mount Pleasant Ave, Suite 205, West Orange, NJ 070522744 9735712121

Office Location

Street Address 1075 CENTRAL AVE
City CLARK
State NJ
Zip Code 07066-1116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881648970 Alexander Doctoroff Dermatology 1075 Central Ave, Clark, NJ 07066-1116 2006-05-22
1326518937 Kristie Nicole Walton Family Medicine 1075 Central Ave, Clark, NJ 07066-1116 2018-11-27
1194025411 Jalpa Patel Physician Assistant 1075 Central Ave, Clark, NJ 07066-1116 2010-11-02
1821239369 Donald Zimmerman Dentist 1075 Central Ave, Clark, NJ 07066-1116 2009-03-12
1801048103 Amanda Mazzetta Physician Assistant 1075 Central Ave, Clark, NJ 07066 2008-10-17
1962590752 Donald Zimmerman Dds Pa Dentist 1075 Central Ave, Clark, NJ 07066-1113 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215491493 Diane Juanita Pearson Counselor 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 2019-01-22
1356831754 Christopher Dasilva Physical Therapist 77 Brant Avenue, Suite 101, Clark, NJ 07066 2018-05-11
1205350030 City Medical of New Jersey, PC Clinic/Center Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 2017-08-02
1184150682 Fyzical Therapy & Balance Center Physical Therapist 132-1 Westfield Ave, Clark, NJ 07066 2017-05-04
1164829826 Adavanced Spine Rehabilitation LLC Chiropractor 1171 Old Raritan Rd, Clark, NJ 07066 2014-11-24
1083838395 Stephen D Bosonac Dentist 979 Raritan Road, Clark, NJ 07066 2007-04-11
1972637965 Jay Andrew Paris Chiropractor 67 Westfield Ave, Clark, NJ 07066 2007-03-14
1821121484 David Kinley Jr. Acupuncturist 668 Raritan Rd, Clark, NJ 07066 2007-03-13
1811036122 Betty C Mclendon Psychologist 623 Raritan Road, Clark, NJ 07066 2007-02-05
1710039623 Cornerstone Physical Therapy Inc Physical Therapist 152 Central Ave 2nd Floor, Clark, NJ 07066 2007-01-18
Find all providers in zip 07066

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609953199 George Edward Argast Physician Assistant 1445 Raritan Rd, Clark, NJ 07066-1230 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1407471493 Angelice Grasso Physician Assistant 3 Holly Ln, Garfield, NJ 07026-3565 2020-06-15
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
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Competitor

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City CLARK
Zip Code 07066

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Dataset Information

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.

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