DR. DOUGLAS GEORGE AVELLA (NPI# 1437200672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437200672 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS GEORGE AVELLA |
| Credential | M.D. |
| Practice Address |
140 Chestnut St Suite 201 Ridgewood NJ 07450-2599 |
| Practice Telephone | 2016129988 |
| Practice Fax Number | 2014459050 |
| Mailing Telephone | 2016129988 |
| Mailing Fax Number | 2014459050 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
25MA03908700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HEALTHNET | J31130 | 01 |
| NJ | AMERIGROUP | 81042 | 01 |
| NJ | CIGNA | 0961576-004 | 01 |
| NJ | EMPIRE BCBS | 81D03 | 01 |
| NJ | 1822900 | 05 | |
| NJ | OXFORD | BS472 | 01 |
| Street Address |
140 CHESTNUT ST SUITE 201 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620199 | John Alexander Co | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2599 | 2006-04-22 |
| 1629357835 | Jennifer Hsieh | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2011-08-05 |
| 1336448497 | John A. Co, Md, LLC | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2562 | 2011-03-15 |
| 1275862732 | Jay Paul Babich | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2009-12-12 |
| 1841527637 | Colon & Rectal Surgery of North Jersey, L.L.C. | Colon & Rectal Surgery | 140 Chestnut St, Suite Number 301, Ridgewood, NJ 07450-2599 | 2009-11-16 |
| 1023296407 | Gastrointestinal Associates Pa | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2008-02-07 |
| 1073701686 | Better Breathing A Center for Respiratory & Sleep Medicine | Internal Medicine | 140 Chestnut St, Suite 200, Ridgewood, NJ 07450-2599 | 2007-10-09 |
| 1134244841 | Joseph Disaverio Md Pa | Surgery | 140 Chestnut St, Suite 301, Ridgewood, NJ 07450-2599 | 2007-03-20 |
| 1700915592 | North Jersey Pediatric Orthpedics Pa | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-03-05 |
| 1740331495 | Joseph Disaverio | Surgery | 140 Chestnut St, Suite 301, Ridgewood, NJ 07450-2599 | 2007-01-16 |
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| 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 |
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| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384918 | Preferred Pediatric Orthopedic Surgery LLC | Orthopaedic Surgery | 106 Prospect Street, 3rd Floor, Ridgewood, NJ 07450-4433 | 2018-11-08 |
| 1700915592 | North Jersey Pediatric Orthpedics Pa | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841717808 | Coastal Pediatric Orthopedics | Orthopaedic Surgery | 833 Lacey Rd Ste 2, Forked River, NJ 08731-1200 | 2017-08-29 |
| 1124367404 | Evan Curatolo | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2013-02-07 |
| 1457593261 | Christos Plakas | Orthopaedic Surgery | 200 White Rd Ste 108, Little Silver, NJ 07739-1160 | 2009-03-26 |
| 1346416997 | Alice Chu | Orthopaedic Surgery | 150 Bergen St Unit 8c138, Newark, NJ 07103 | 2008-05-05 |
| 1750593356 | Alan C. Tillis | Orthopaedic Surgery | 1 Oskar Ct, Livingston, NJ 07039-8236 | 2007-05-04 |
| 1437370004 | Surender M Grover | Orthopaedic Surgery | 979 Highway 9 North, South Amboy, NJ 08879 | 2007-05-01 |
| 1184626327 | Jennifer Marie Tareco | Orthopaedic Surgery | 766 Route 202/206, Suite 1, Bridgewater, NJ 08807-1777 | 2005-06-01 |
| 1063033421 | Atlantic Pediatric Orthopedics | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2020-04-27 |
| 1619511078 | Stc Pediatrics LLC | Orthopaedic Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1275943110 | Neil Kaushal | Orthopaedic Surgery | 205 South Orange Avenue, C1200, Newark, NJ 07103 | 2014-04-30 |
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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.