EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY (NPI# 1487749156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487749156 |
| Entity Type | Organization |
| Organization Name | EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY |
| Practice Address |
423 Amboy Ave Woodbridge NJ 07095-2909 |
| Practice Telephone | 7326346188 |
| Practice Fax Number | 7326347991 |
| Mailing Telephone | 7326346188 |
| Mailing Fax Number | 7326347991 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. STANLEY S. KIM (PRESIDENT) |
| Authorized Official Telephone | 7326346188 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA06407800 | NJ | Other Service Providers |
| Street Address |
423 AMBOY AVE |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124279252 | A Sulse M. D. Prof Assoc | Specialist | 423 Amboy Ave, Woodbridge, NJ 07095-2909 | 2008-10-07 |
| 1982779054 | Angel C Sulse | Internal Medicine | 423 Amboy Ave, Woodbridge, NJ 07095 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1083155808 | Kenneth Madueke | Nurse Practitioner | 404 Kings Ct, Woodbridge, NJ 07095 | 2017-03-13 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| Find all providers in zip 07095 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325156 | Tiffany Kay Grinstead | Specialist | 3815 Marquis Pl, Woodbridge, VA 22192-6228 | 2018-05-07 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1184002263 | Sanctus | Specialist | 1372 Old Bridge Rd # 102, Woodbridge, VA 22192-2708 | 2015-05-11 |
| 1740667666 | Family Psychiatric Associates | Specialist | 4349 Ridgewood Center Drive, Suite 101, Woodbridge, VA 22192 | 2015-04-29 |
| 1265867675 | Megan D Galleron | Specialist | 4151 Old Bridge Rd, Woodbridge, VA 22192-7669 | 2013-09-05 |
| 1871938316 | Stephen Lawrence Ferlazzo | Specialist | 13208 Barrister Pl, Woodbridge, VA 22192-4804 | 2013-05-09 |
| 1447592613 | Janice Myra Wolfe | Specialist | 1372 Old Bridge Rd, Suite 102, Woodbridge, VA 22192-2708 | 2013-03-26 |
| 1720330277 | Pediatric Achievements, LLC | Specialist | 2235 Tacketts Mill Dr Ste C, Woodbridge, VA 22192-3036 | 2012-10-09 |
| 1952561532 | Kristy A Blair | Specialist | 16004 Normandy Ct, Woodbridge, VA 22191-4321 | 2008-06-17 |
| 1194995605 | Nika Jani | Specialist | 13895 Hedgewood Dr, Suite 101, Woodbridge, VA 22193-7924 | 2008-03-11 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
Please comment or provide details below to improve the information on EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY.
| 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.