NIA MEDICAL CENTER AND SPA, LLC (NPI# 1457682213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457682213 |
Entity Type | Organization |
Organization Name | NIA MEDICAL CENTER AND SPA, LLC |
Practice Address |
851 Mount Prospect Ave Newark NJ 07104-3228 |
Practice Telephone | 9734810501 |
Practice Fax Number | 9734810503 |
Mailing Telephone | 9734810501 |
Mailing Fax Number | 9734810503 |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |
Authorized Official Name | DR. NORMA B. MILANES ROBERTS (CHIEF OF OPERATIONS) |
Authorized Official Telephone | 9734810501 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MA68696 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
851 MOUNT PROSPECT AVE |
City | NEWARK |
State | NJ |
Zip Code | 07104-3228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114181443 | Hortensia Kelly | Family Medicine | 851 Mount Prospect Ave, Newark, NJ 07104-3228 | 2008-07-16 |
1427490945 | Medmax Limited Liability Company | Family Medicine | 851 Mount Prospect Ave, Newark, NJ 07104-3228 | 2013-07-25 |
1619205622 | Nia Medical Center &spa | Clinic/Center | 851 Mount Prospect Ave, Newark, NJ 07104-3228 | 2009-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
Find all providers in zip 07104 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053758631 | Licking Memorial Professional Corporation | Obstetrics & Gynecology | 270 Goosepond Road, Ste 102, Newark, OH 43055 | 2013-05-23 |
1861535544 | Ronaldo L Domingo | Obstetrics & Gynecology | 620 Christiana Med Ctr, Newark, DE 19702 | 2007-02-14 |
1366552671 | Linda Hipps | Obstetrics & Gynecology | 140 Bergen St # C, Newark, NJ 07103 | 2006-08-30 |
1538184791 | Matthew J Fagan | Obstetrics & Gynecology | 4375 Ogletown Stanton Road, Suite 1208, Newark, DE 19713-2089 | 2006-07-12 |
1366960734 | Womens Healthcare Consultants Inc | Obstetrics & Gynecology | 1400 Peoples Plz Ste 301, Newark, DE 19702-5708 | 2017-09-06 |
1114208725 | David Kulak | Obstetrics & Gynecology | 185 S Orange Ave, E-561, Newark, NJ 07103-2757 | 2011-09-09 |
1356421812 | Mark H Einstein | Obstetrics & Gynecology | 185 S Orange Ave, Rutgers New Jersey Medical School, Msb E-506, Newark, NJ 07103-2757 | 2006-10-17 |
1457452393 | Estelle H Whitney | Obstetrics & Gynecology | 4735 Ogletown Stanton Rd, Map 2, Suite 2103, Newark, DE 19713-2072 | 2006-09-25 |
1588680136 | Delaware Gynecology | Obstetrics & Gynecology | 2707 Kirkwood Hwy, Newark, DE 19711-6828 | 2006-07-15 |
1942275078 | Claude Macajoux | Obstetrics & Gynecology | 151 Washington St, Newark, NJ 07102-3026 | 2006-02-22 |
Find all providers in NEWARK |
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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.