DAVID MATTHEW BANDOLA (NPI# 1487827408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487827408 |
| Entity Type | Individual |
| Full Name | DAVID MATTHEW BANDOLA |
| Credential | MD |
| Practice Address |
601 Hamburg Tpke Suite 204 Wayne NJ 07470-2048 |
| Practice Telephone | 8622480668 |
| Practice Fax Number | 8622480669 |
| Mailing Telephone | 8622480668 |
| Mailing Fax Number | 8622480669 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA08735700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08735700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
601 HAMBURG TPKE SUITE 204 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293885 | Michael Kesler | Podiatrist | 601 Hamburg Tpke, Suite 100, Wayne, NJ 07470-2048 | 2006-04-06 |
| 1679004022 | Stephen Tomaskovic | Hearing Instrument Specialist | 601 Hamburg Tpke, Suite 104, Wayne, NJ 07470-2048 | 2017-03-27 |
| 1639555402 | Tri County Home Care LLC | Home Health | 601 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2048 | 2015-08-04 |
| 1184035420 | North Jersey Interventional Spine Center, LLC | Specialist | 601 Hamburg Tpke, Suite 204, Wayne, NJ 07470-2048 | 2014-05-08 |
| 1427325620 | Diana S. Leu, Md, LLC | Clinic/Center | 601 Hamburg Tpke, Suite 211, Wayne, NJ 07470-2048 | 2011-11-16 |
| 1730326653 | Sonia Tesolin | Chiropractor | 601 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2048 | 2009-01-14 |
| 1912161225 | Kesler Podiatry P C | Podiatrist | 601 Hamburg Tpke, Suite 100, Wayne, NJ 07470-2048 | 2008-07-16 |
| 1710174875 | Theresa I Cifelli | Physical Therapist | 601 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2048 | 2007-10-02 |
| 1548476021 | Ross Scott Lesser | Dentist | 601 Hamburg Tpke, Suite 206, Wayne, NJ 07470-2048 | 2007-05-14 |
| 1063628550 | Wayne Dental Arts, LLC | Dentist | 601 Hamburg Tpke, Suite 206, Wayne, NJ 07470-2048 | 2007-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952902 | Ambulatory Anesthesia Services, P.a. | Anesthesiology | 1825 Rte 23, Wayne, NJ 07470-7510 | 2005-09-13 |
| 1891122792 | Passaic Medical Group Pa | Anesthesiology | 87 Berdan Ave, 2b, Wayne, NJ 07470-3210 | 2013-10-09 |
| 1598084006 | Epic Pain Management & Anesthesia Consultants LLC | Anesthesiology | 516 Hamburg Tpke, Ste 2, Wayne, NJ 07470-2062 | 2010-05-24 |
| 1780872614 | Pamela R D'amato | Anesthesiology | 504 Valley Rd, Suite 203, Wayne, NJ 07470-3534 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
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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.