LAUREN ELREDA MD PA (NPI# 1497062327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497062327 |
| Entity Type | Organization |
| Organization Name | LAUREN ELREDA MD PA |
| Practice Address |
467 Mount Prospect Ave Newark NJ 07104-2907 |
| Practice Telephone | 9734839900 |
| Practice Fax Number | 9734839933 |
| Mailing Telephone | 9734839900 |
| Mailing Fax Number | 9734839933 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DR. LAUREN ELREDA (OWNER PHYSICIAN) |
| Authorized Official Telephone | 9734839900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25MA08230900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0235466 | 05 |
| Street Address |
467 MOUNT PROSPECT AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021607 | Gilberto Pagan | Psychologist | 467 Mount Prospect Ave, Newark, NJ 07104-2907 | 2006-09-12 |
| 1023447844 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 467 Mount Prospect Ave, Newark, NJ 07104-2907 | 2013-11-02 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568726248 | William May Lee | Internal Medicine | 4701 Ogletown Stanton Rd Ste 2400, Newark, DE 19713 | 2012-06-27 |
| 1952479073 | Lauren Elreda | Internal Medicine | 201 Lyons Ave # D-2, Newark, NJ 07112-2027 | 2006-11-30 |
| 1891717708 | Stephen M. Abo | Internal Medicine | 111 Central Ave., Cancer Center, Newark, NJ 07102 | 2006-07-24 |
| 1811935307 | Anupama Nehra | Internal Medicine | 205 S Orange Ave, Newark, NJ 07103-2785 | 2006-06-04 |
| 1649694738 | Said A Saleh Md Pa | Internal Medicine | 644 Mount Prospect Ave, Newark, NJ 07104-3110 | 2014-02-10 |
| 1275976417 | Amy E Mcghee Jez | Internal Medicine | 4701 Ogletown Stanton Rd, Suite 3400, Newark, DE 19713 | 2013-04-08 |
| 1861771784 | Pankhoori Saraf | Internal Medicine | 185 S Orange Ave, Division of Hematology / Oncology University Hospital, Newark, NJ 07103-2757 | 2011-08-09 |
| 1548558125 | Yan Cheng | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2011-07-15 |
| 1578854618 | Hamid Salim Shaaban | Internal Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2011-04-24 |
| 1053625632 | Jason Palopoli | Internal Medicine | 4701 Ogletown Stanton Rd, Ste 2400, Newark, DE 19713-7013 | 2010-08-05 |
| 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.