ST MICHAELS CARDIOLOGY ASSOCIATES (NPI# 1457481954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457481954 |
| Entity Type | Organization |
| Organization Name | ST MICHAELS CARDIOLOGY ASSOCIATES |
| Practice Address |
268 Martin Luther King Jr Blvd Newark NJ 07102-2011 |
| Mailing Address |
12 Railroad Pl Belleville NJ 07109-3413 |
| Practice Telephone | 9737598700 |
| Practice Fax Number | 9737597545 |
| Mailing Telephone | 9737598700 |
| Mailing Fax Number | 9737597545 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. ATHOS ANASTASIADES (PRESIDENT) |
| Authorized Official Telephone | 9737598700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
268 MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174030 | Shuaib Akhtar | Anesthesiology | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2005-06-14 |
| 1588087530 | Doreen Lallo | Registered Nurse | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2014-01-28 |
| 1891090858 | Weight Loss Institute Inc | Specialist | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2011-01-21 |
| 1396922993 | Donna E Ryan | Physician Assistant | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2008-01-25 |
| 1356415913 | Vinayak D. Bodas | Pediatrics | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-17 |
| 1073687760 | Imelda N Devera-cagadoc | Registered Nurse | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-17 |
| 1891872412 | Fayez Shamoon | Internal Medicine | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-01 |
| 1679583330 | J&j St Michaels Pharmacy Inc. | Pharmacy | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-08-08 |
| 1306807938 | Roger Cooper | Specialist | 268 Martin Luther King Jr Blvd, St Michael Infectious Disease, Newark, NJ 07102-2011 | 2006-03-31 |
| 1679532287 | Jonathan Edward Goldstein | Specialist | 268 Martin Luther King Jr Blvd, 5th Floor, Newark, NJ 07102-2011 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194077586 | Hosmane Cardiology LLC | Internal Medicine | 4547 Ogletown Stanton Rd, Medical Arts Pavillion 1 Suite 135, Newark, DE 19713 | 2012-10-09 |
| 1568745016 | Emad F Aziz | Internal Medicine | 90 Bergen St # 3500, Newark, NJ 07103 | 2011-09-21 |
| 1497045504 | Usman I Choudhry | Internal Medicine | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2011-04-10 |
| 1326357765 | Irvin Goldfarb, Md, Pa | Internal Medicine | 306 Martin Luther King Blvd, 4th Floor, Newark, NJ 07102 | 2010-10-04 |
| 1457670739 | Access Medicine Nj | Internal Medicine | 228 Lafayette St Fl 5, Newark, NJ 07105 | 2010-05-25 |
| 1467636936 | Cathedral Faculty Practice | Internal Medicine | 268 Dr. Martin Luther King Boulevard, Newark, NJ 07102-2094 | 2007-12-20 |
| 1790965259 | Irena O. Stolar, M.d., P.a. | Internal Medicine | 320 Christiana Medical Ctr, Newark, DE 19702-1653 | 2007-11-13 |
| 1235334145 | James Matthew Maher | Internal Medicine | 185 S Orange Ave # I532, Newark, NJ 07103-2757 | 2007-06-19 |
| 1366594848 | Sunrays Cardiology Inc | Internal Medicine | 71 South Terrace Avenue, Newark, OH 43055 | 2007-01-17 |
| 1184796682 | David S. Grubbs, M.d., P.a. | Internal Medicine | K15 Omega Drive, Suite 5, Newark, DE 19713 | 2006-11-14 |
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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.